complaint·March 26, 2025

The investigation revealed the following: Allegation: “Staff do not ensure that residents' dietary needs are met”, it is being alleged that there is not enough food in the facility for residents in care and residents do not receive enough food for each meal. Interviews conducted with R1 to R2 revealed the following: 1 out of 2 residents agreed with the allegation. Interviews conducted with S1 to S3 revealed the following: S1 indicated that the fridge does not have enough for the week. S2 indicated that the fridge is empty, sometimes there is not enough food in the facility and sometimes we (staff) use our own food to cook for residents in care. S3 indicated that that sometimes there is not enough food in the facility. On 3/26/2025 observations revealed the following: there were half empty shelves in the facility fridge and there was not enough perishable food items for a minimum of two days for 4 residents in care. (The facility has a total of 4 residents in care.) Records reviewed of the indicated The Plan of Operation under Food Service and Dietary Provisions states the following: “facility must ensure the availability of an adequate daily food intake for all residents”, thus, all residents must have enough food available to them that satisfies their hunger. Substantiated: Based on observations, interviews and records reviewed, 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 are 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 Licensee/Administrator, Steven Gradney.