Complaint·February 4, 2025

Allegation: Staff did not follow sanitary practices for food storage units The department staff conducted interviews with the Standards and Compliance Manager (A1) and Staff 1-Staff 3 (S1-S3). A1 reported that there has been no residents death in the month of January 2025. She also reported that when a resident passes away, the body is not moved until a mortuary or coroner arrives to remove the body and it is typically taken through the front door. A1 stated that "our policy is they come through the front door and they exit through the front door." Lastly, A1 stated that it is not possible for a body to be picked up from the loading dock or any place else. Of the 3 staff interviewed, 3 out of 3 staff state that when a person passes away the body is not moved and the process is as follows: the mortuary or corner is called, a family member is call, there is a small flag ceremony, the body is picked up and taken through the front doors. Lastly, 3 out of 3 staff and A1 stated that any resident who passed away has never been placed in an area where food is stored. The department staff observed food service and storage areas and found that all safety/infectious disease precautions were used such as wearing hair nets, masks, gloves and washing hands. All storage freezers where observed to be clean and sanitary. All items were appropriately stored. The department staff obtained and reviewed a copy of Residents' roster (dated 1/23/25 and 2/4/25) and did not observe any resident with initials matching R1's as indicated on the complaint. Based on the information provided, documentation reviewed, and interviews conducted, the department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were cited for the above allegations. Exit interview was conducted. A copy of this report was provided to Aithi Hong , Standards and Compliance Manager.