complaint·February 19, 2026

Upon document review of facilities CFL Resident Handbook on page 18, under meals and dining, facility provides breakfast from 7:00am until 9:00am, lunch from 11:30am until 1:30pm, and dinner from 4:30pm until 6:00pm. Interviews conducted with staff show four out of four staff stating breakfast is usually served between 8:00am – 8:30am. Two of four staff stated dinner is usually served between 4:00pm – 5:00pm. Interview with Executive Director revealed there are currently 18 residents in memory care and out of those 18, 4 residents need full assistance with eating as one caregiver will be between two residents assisting them with feeding. Regulation 87555(b)(1) states “not more than fifteen (15) hours shall elapse between the third and first meal. Document review and interviews conducted reveal food services are being conducted within fifteen (15) hours between the third and first meal. Complaint alleges staff does not provide adequate supervision to residents due to lack of staff resulting in staff leaving residents alone in the common area on 12/07/2025 during the morning. Review of staff’s clock in sheet for 12/07/2025 shows there were five staff for the AM shift (6:30am - 2:30pm) and one additional staff from approximately 9:00am – 5:30pm. LPA reviewed 8 residents needs and service plan, none indicate they need one to one care. LPA was unable to gather enough evidence to support the allegation. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.