complaint·January 26, 2026

Regarding the allegation “Staff did not consider resident's dietary preferences,” it is alleged that R1 had asked for soft food, no spicy food and no peppercorns. Interview with R1 revealed that their diet had been modified to soft foods and the staff are meeting their dietary needs. 7 out of 10 residents interviewed are satisfied with the food service provided and indicated their dietary needs are met. 3 out 10 residents interviewed stated they do not always like the meals being provided and are aware of alternate meal choices offered. Interview with S3 revealed a physician’s order for permanent “soft food” diet had been received 09/02/2025 for R1. S3 stated, the kitchen staff are aware of modified diets for residents and offer an alternate menu daily for residents that do not want to have the meal being offered. Based on interviews and record review , a lthough the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Kayla Lazo Activities Director. The investigation revealed the following: Regarding the allegation “Staff did not advise resident of rate change,” it is alleged that R1 was not advised of their rate change prior to the increase being implemented. Interviews with S1 and S2 revealed that R1’s family was notified of the change in level of care resulting in a rate increase, However, per the facility’s Resident Financial/Responsibility Form dated 11/11/22, located in R1’s file, R1 is the responsible party and was not notified prior to implementing the change. Record review revealed, per the facility’s Resident Assessment and Service Plan, the procedure is for the Resident Care Director to ensure the service plan is signed and dated by the resident and/or responsible party, as appropriate. Per the Admission Agreement, the facility shall give sixty (60) days prior written notice of any changes in fees for levels of care, R1’s Resident assessment was dated 10/29/2025 indicating the effective date 11/01/2025, giving R1 less than sixty (60) days notice. Deficiency cited. Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency is being cited on the attached LIC9099D. Exit interview was held and a copy of this report along with the appeal rights were provided to