complaint·December 11, 2025

Investigation revealed the following: Allegation: “Staff do not ensure food is stored properly”, it is being alleged that the facility food is not of good quality and not stored properly. On 08/22/2025, a kitchen tour was conducted, and the following was observed: at 12:04 PM LPA Leandro took a picture of mashed potatoes on a paper plate without a cover (e.g. plastic wrap) inside the refrigerator; at 12:04 PM LPA Leandro took a picture of a cotton cleaning towel inside the refrigerator; at 12:05 PM LPA Leandro took a picture of strawberries with mold on them inside the refrigerator, the mold was fuzzy with green and white; at 12:06 PM LPA Leandro took a pictures of sweet potatoes with mold on them inside the refrigerator, the mold was fuzzy with green and white; at 12:06 PM LPA took a pictures of tomatoes with mold on them inside the refrigerator, the mold was black and fuzzy; (facility staff discarded said produce). Substantiated: Based on observations the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Executive Director, Jennifer Rivas. Investigation revealed the following: Allegation: “Staff do not ensure residents are cleaned properly”, it is being alleged that staff refuse to provide residents with showers. Interviews conducted with R1 to R11 revealed the following: 10 out of 11 residents denied the allegation and 1 out of 11 residents agreed with the allegation. Interviews conducted with S1 to S9 revealed the following: 9 out of 9 staff denied the allegation. Interviews conducted with W1 to W2 revealed the following: 1 out of 2 witnesses denied the allegation and 1 out of 2 witnesses did not know if said allegation did or did not occur. Records reviewed of Shower Schedules from 05/01/2025 to 07/25/2025 indicates that staff: “assist” residents with showers, “stand by” when residents showers, and “remind” residents to shower. Unsubstantiated: 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. An exit interview was conducted, and a copy of this report was left with the Executive Director, Jennifer Rivas.