complaint·June 13, 2024

Interviews with memory care caregivers revealed that they do plate the food in the memory care dining room and that they have to wear hairnets and gloves. They also stated they do not have a food handlers certification. During lunch, LPA observed that the food is cooked in the kitchen and then transported in a hot box food warmer to the memory care dining room. The caregivers were wearing hairnets and gloves when they were plating the food. There is no Title 22 regulation that state that caregivers need to have a food handlers certification, however per Title 22 Section 87411 Personnel Requirements they have to have on the job training in regards to principles of good nutrition, good food preparation and storage, and menu planning. LPA requested for proof of this training for the memory care caregivers and S1 checked the caregivers files and told the LPA that there was no such training in their files. There was a temperature log located at the top of memory care dining room refrigerator, but there is no Title 22 regulation that state that the facility needs to have a temperature log, however per Title 22 Section 87555(b)(23) it states "all readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures". The food was transported in a hot box and when the food was being served and the LPA observed that it was at an appropriate temperature. Furthermore, residents interviewed stated that the food is served at an appropriate temperature. Based on interviews conducted, observation and documents reviewed, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099-D. Exit interview held and a copy of the report and appeal rights was provided. Regarding the allegations "staff does not ensure facility is kept free of mal odors of residents" and "staff does not ensure toilets are kept in good repair", it is alleged that the toilets in rooms 219, 241, 319, and 341 are not functioning and there is a rancid sewer odor coming from the drains and toilets of these rooms bathrooms. Staff interviewed denied the allegations. Residents interviewed could not corroborate the allegation. LPA observed the toilets to be properly functioning and did not smell any odors coming from the toilet or drains in all the rooms toured during this visit (152, 169, 183, 186, 219, 241, 319, and 341). Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview held and a copy of the report was provided