Complaint·May 4, 2023

INVESTIGATIONS REVEALED: Based on records review, Resident #1 (R1) was admitted to the facility on 12/4/2022 and left the facility on April 4, 2023. R1 is non-ambulatory and has a mild cognitive impairment. R1 has a special diet of low sodium and low sugar. Regarding allegation: Staff did not follow safe food handling practices. It was reported that cooked and uncooked food are constantly exposed. LPA Montoya conducted interviews with three staff (S1-S3), five residents (R1-R5) and one witness (W1). Based on interviews conducted, all three staff (S1-S3), and all five residents (R1-R5) denied that staff did not follow safe food handling practices. During LPA’s complaint visit on 5/3/2023 at 10:06 am until 10:16 am, LPA checked and observed several bags of bread and bags of chips were open and unsealed. LPA observed a bowl of meat, a glass container of gelatin and a soy sauce with sliced onions in the refrigerator uncovered. LPA also observed uncovered bowl of rice soup, chips and salsa near the stove oven. Based on gathered information and photos taken, there is sufficient evidence to prove that staff did not follow safe food handling practices. Regarding allegation: Staff did not keep resident's information confidential. It was reported that staff shared Residents’ confidential/medical information to visitors and residents’ confidential records are exposed and not locked. LPA Montoya conducted interviews with three staff (S1-S3), five residents (R1-R5) and one witness (W1). Based on interviews conducted, all three staff (S1-S3), and all five residents (R1-R5) and a witness (W1) denied that staff did not keep resident’s information confidential. During the complaint visit on 5/3/2023 at 9:52 am, LPA observed residents’ confidential files including R1’s file were not locked and accessible. LPA advised S2 to keep and lock all confidential files. At 10:38 am, LPA observed R1’s confidential file folder was still accessible and not moved to a locked storage. Based on gathered information and photos taken, there is sufficient evidence to prove that staff did not keep resident’s information confidential. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. According to the California Code of Regulations (Title 22, Division 6, Chapter 1,6), the following deficiencies had been observed and citations issued (ref. LIC 9099D). CIVIL PENALTY ASSESSED. An exit interview was conducted and copy of the Complaint Report and Appeal Rights were provided to the Administrator Virginia Asis.