complaint·February 13, 2024

The investigation revealed the following. Regarding Allegation(s): Staff does not provide residents with nutritious meals- It is alleged staff do prepare nutritious meals, like fruits and vegetables. LPA Ramirez conducted physical tour at approximately 8:20 am. LPA Ramirez observed R4 and R5 seated at the dining room table, eating breakfast. LPA Ramirez observed a decent serving of diced potatoes, scrambled eggs, bacon, and a croissant on R5’s plate. LPA Ramirez viewed facility Daily Notes dated 02/06/2024 through 02/12/2024, for all six (6) residents that documents date, time, meal intake% and description of what eat resident consumed. LPA Ramirez observed a variety of meals documented and observed fruits and vegetables being documented on somedays. LPA Ramirez observed staff documented most meals were 80% to 100% consumed on most days for each resident. Two (2) out of two (2) staff interviewed denied this allegation. Three (3) out of six (6) residents interviewed denied this allegation. R1 was sleeping during tour and could not be interviewed. R2 and R6 are receiving hospice care and could not be interviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Facility does not post menu- It is alleged the facility does not post a menu of meals to be served. LPA Ramirez observed facility sample menu during file review. Per Title 22, Division 6, Chapter 8, Article 10 Food Services, 87555 General Food Service Requirements (b)(6)- The following food service requirements shall apply: In facilities for sixteen (16) persons or more, menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days. Facilities licensed for less than sixteen (16) residents shall maintain a sample menu in their file. Menus shall be made available for review by the residents or their designated representatives and the licensing agency upon request. Two (2) out of two (2) staff interviewed denied this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . See 9099-C for continuation. Staff does not prevent resident from posing a hazard to other residents- It is alleged that staff allow delivery packages to pile up in facility hallway and resident is unable to open door. Two (2) out of two (2) staff interviewed denied this allegation. LPA Ramirez toured facility including each resident room. LPA Ramirez did not observe any hazards inside or outside the facility. LPA Ramirez observed R1 and R3 to have private rooms. LPA Ramirez was able to enter R3’s room and did not observe any hazards. LPA Ramirez did observe several large bags with various unknown packaged items, in front of R3’s closet area. LPA Ramirez observed sufficient space for R3 and for staff to provide care and supervision. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted and a copy of this report and appeals rights was provided.