Complaint·March 20, 2025

The investigation revealed the following: Regarding allegation: Staff are not meeting resident’s food service needs. It is alleged staff are not allowing resident to open own cereal box as requested by the resident due to sanitization concerns. Interviews conducted with residents revealed, 8 out of 10 residents are satisfied with food service, residents do not have service food preferences, and do not have concerns with food not being clean or sanitized. There were 2 out of 10 residents that had concerns with the food and environment not being clean or sanitized and preferring their cereal box being closed rather than open when providing to them. Interviews with staff revealed 8 out of 8 staff stated that the food service is provided under a clean and sanitize environment. Residents have not complaint regarding their cleanness. However, 5 out of 8 staff interviewed stated a resident has requested their cereal box to have a closed lid rather than being provided open to them and have not follow their request as they have been directed to open the lids or boxes. Dining Room Manager stated that it is facility’s practice to peel the bowl’s lid prior to providing it to the residents, residents have not been allowed to do it themselves, and staff must pour the content of the boxes into bowls instead of providing the bowl to residents. Per Dining Room Director, the individual serving bowls of cereal are not always available. Therefore, cereal may be served in a bowl, also the service of the food at the dining room is provided as fine dining and therefore the staff try to assimilate that by providing the food in dishes. During the tour of the dining room LPAs observed individual bowls of cereal store which are provided to the residents for breakfast based on the menu and it was explained to LPA that there are times when they have boxes of cereal which are not for individual serving. Documents reviewed revealed residents are provided the option of dry cereal at least three times a week and have additional or alternative menus to provide a variety of meals per the residents’ choices. Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted with Milca Osorio Director of Health Services and a copy of this report, LIC 9099D, and appeal rights were provided. The investigation revealed the following: Regarding allegation: Staff is harassing resident. It is alleged administrator has been bullying resident over the last three years. Interviews conducted with residents revealed, 8 out 10 residents are content with staff, have not observed or been treated disrespectfully by any of the staff members. Two (2) out of 10 residents stated to have either been harassed or have observed staff harassing resident verbally at the facility. Interviews conducted with staff revealed 8 out of 8 staff interviewed stated to address the residents respectfully and have not observed others treat the residents in a disrespectful manner or harassing them in any way. LPA reviewed staff training conducted on 1/9/25 regarding residents’ personal rights. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted with Milca Osorio Director of Health Services and a copy of this report was provided.