complaint·February 21, 2024

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted a subsequent complaint visit. Regarding the allegation above it is alleged that facility staff are unable to communicate with residents due to a language barrier. On 02-14-2024 LPAs investigated this complaint. LPAs conducted interviews and concluded that the one and only staff on duty at the time of this investigation was unable to effectively communicate with the residents of which the majority speak English. Staff used a translator to attempt to communicate. Staff was unable to effectively communicate on how to address an emergency should one happen. Staff on duty was unable to effectively communicate in English. At 9:30 AM LPA initiated interviews with six(6) residents. Four (4) out of six (6) residents have trouble communicating with staff for their basic needs. LPA then asked a series of questions to S1 regarding basic needs and care for the residents. S1 was confused, unable to respond or answer any of the questions. This complaint allegation, Staff are unable to communicate with residents is substantiated. Allegation #2: Staff do not ensure residents are served food of good quality. To investigate this allegation, License Program Analyst (LPA) Leslie Ngo-Castaneda conducted toured the home, observed food service, conducted file reviews, and interviewed residents at 9:38AM. LPA observed there to be 2 days of non-perishable and one week of perishable foods. Foods observed were high is sodium and sugar. Foods included frozen pizza, mini-sausages, pizza, cans of soup canned corn, canned peas, pasta and Sunny D. LPAs observed minimal fresh fruit and or vegetables. LPAs reviewed resident’s records and per the resident’s physicians reports 6 out of 6 resident are on modified diets. LPA interviewed four (4) out of six (6) residents who stated the LPAs that the facility does not provide fresh food and the food is mostly canned with too much salt. Residents gave sample of food that was serve: microwaved soggy pizza that is un-edible, canned corn/ peas, or spaghetti with ketchup. During the visit, LPA observed canned chicken noodle soup, mini-sausages, untoasted one (1) slice of white bread smeared with butter, and bottled sunny-d orange juice was served for lunch. Moreover, an interview with staff confirmed that the facility does not follow the sample food menu posted in the kitchen to provide quality food to the residents. LPA requested staff training regarding food service and modified diets. There was no training. Based on the information gathered, there is sufficient evidence to conclude allegation is substantiated . Exit interview conducted. Copy of this report issued To investigate the allegation License Program Analysts (LPAs) Leslie Ngo-Castaneda & Perchui Khurshudyan conducted an initial visit on 02.14.2024. LPAs reviewed six (6) out of six (6) Centrally Stored Medication and Destruction Records (CSMDR). Records indicated the name and quantity of medication when R1 arrived at facility on 1.29.2024, this is then accounted for during LPAs visit. Base on LPA observation, medication was accounted for all the residents on CSMDR and medication in the facility. Based on medication records, interviews and observation, there is not enough evidence that medications were not given or misplaced. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted and copy of report given to administrator.