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Inspection visit

complaint

BAYSHIRE SAN DIMASLicense 1986037101 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed th e followin g: In regards to the allegation: "Facility staff does not provide food of good quality to resident(s) in care." It is alleged that the facility serves resident cold food, but no further details given. (6) out of (6) staff interviewed denied the allegation. Some staff interviewed stated that they serve good quality of food and food is always served hot/warm. Interviewed staff stated that the facility has food warmers in the kitchen/serving areas in the Assisted Living (AL), Skilled Nursing (SNF) and Memory Care (MC) units to keep the food hot before serving. S1 stated that the facility has an electric food cart to keep the food hot/warm while transporting to different units in the facility. (8) out of (8) residents were unable to corroborate the allegation. Interviewed residents stated that food is always served warm to medium warm, not cold. Additionally, residents stated that they are satisfied with the quality of food and servings. During the facility tour, LPAs observed the food warmers were all set up in the kitchen/serving areas and the facility has sufficient supply of food. LPAs also observed today's lunch and observed good quality of food served. Therefore, there was insufficient evidence to corroborate with this allegation. Based on observations, statements and interviews conducted with residents and staff, there was not enough supportive evidence to corroborate the 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. Exit interview held, and a copy of this report was provided to Lisa Gomez, House Manager. The investigation revealed the following: In regards to the allegation: "Facility refrigerator is in disrepair." It is alleged that it was overheard that the refrigerator is not functional and is being used for storage. No additional specifics provided. (4) out of (6) staff interviewed are aware that the refrigerator in the main kitchen was broken S1 stated that the refrigerator broke in July 2024 and it used to store drinks such as water, juice, soda cans, but no protein or salad stored in there. S1 also stated that a refrigeration company came 2x (8/01/2024 & 8/09/2024) to inspect and provide estimates to repair the refrigerator. According to S1, the estimates were being reviewed by the Management for approval. Interviewed residents are not aware that the refrigerator was broken. During the tour, LPAs observed that the refrigerator has a sign "Broken, Out of service" on the door. LPAs observed that although the refrigerator is unplugged, drinks and some paper cup supplies are stored inside and being used as storage. Based on LPAs' observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to Lisa Gomez, General Manager along with the Appeals Rights

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87555(b)(29)Type B

    87555 General Food Service Requirements ....(b) The following food service requirements shall apply: (29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair ......This requirement is not met as evidenced by: Based on LPA's observations, interviews and records review, the refrigerator in the main kitchen has been broken since July 2024, currently not yet scheduled to be fixed and being used as storage which posed a potential risk for residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 20, 2024 inspection of BAYSHIRE SAN DIMAS?

This was a complaint inspection of BAYSHIRE SAN DIMAS on August 20, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to BAYSHIRE SAN DIMAS on August 20, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87555 General Food Service Requirements ....(b) The following food service requirements shall apply: (29) All equipmen..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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