complaint·July 8, 2025

In regard to the allegation “Staff serves expired food to resident’ and “Staff does not provide resident with nutritious meals”, it is alleged that facility keeps expired food and that residents are not being served nutritious meals. During interviews with Administrator and staff (S1) both stated that they do not have expired food and that both residents receive well balanced nutritional food. During interviews with residents R1 and R2 both stated that the food is okay. R1 stated that they don’t get enough food. LPA Gutierrez checked food supply and observed expired milk, cheese, sour cream, and molded cauliflower in refrigerator. LPA also toured garage and found a supply of vegetables and expired bread with gnats surrounding boxes. During visit LPA Gutierrez observed Administrator serve R1 tacos with the three month expired sour cream. LPA asked Administrator to throw away all expired food. In regard to the allegation “Staff is not meeting the resident's medical needs”, it is alleged that R1 was referred to an ophthalmologist and urologist in June of 2020 and was never taken. During interviews with Administered it was reveled that R1 was not taken to appointments because Administrator thought that home health care was supposed to arrange that, and the facility does not provide those services. S1 stated that he/she doesn’t take care of medical appointments. During interviews with residents R1 stated that he/she has only seen the doctor once and R2 stated that family takes he/she to doctors. In regard to the allegation “Staff does not maintain adequate records for resident”, It is alleged that R1’s file is not updated with current paperwork. During record review it was reveled that R1 has not seen a physician for an updated physicians report LIC 602 since 06/16/2020 with a diagnosis of Dementia, and the appraisal needs, and service plan was not completed, nor did it have R1’s signature or signature of person completing form. During interview with Administrator, it was revealed that home health care has been seeing R1 and no updated LIC 602 has been completed by physician. SEE LIC 809C In regard to the allegation “staff mismanages resident's medications”, it is alleged that facility did not have an updated centrally stored medication list since 2020. During record review it was reveled that facility did have current centrally stored medication log from May of 2025. LPA did a medication check and Atrovent Inhaler was missing for R1. Administrator stated R1 did not use inhaler, but doctor has never discontinued inhaler for R1. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted with Administrator Lourdes VillaFlores. A copy of the report and appeal rights were provided.