Complaint·April 3, 2025

Allegation: Facility is not following the menu that is provided to residents in care. During complaint investigation, department LPA interviewed facility staff and residents, toured the facility and reviewed records. On 1/16/25, during the facility kitchen tour and staff interview the menu on the list matched to the menu available for residents prepared by kitchen personnel (Italian wedding soup, mixed greens, grilled bratwurst Link, and roast beef sandwich). According to staff and resident interviews, there have been no reported concerns regarding facility food at the facility. 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 conducted, report signed and provided for facility records. Allegation: Staff did not ensure that facility faucets are delivering hot water for residents in care. During facility tour, on 3/21/25 LPA toured the facility and observed the facility with no hot water. According to staff and plumbing services interviews, due to facility heritage structure, the main water lines are sensitive to water fluctuating pressure and temperature in different sections of the facility that may be easily damaged, causing low pressure in some areas of the facility. Based on observations the bathroom water temperature recorded above regulatory requirement, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations being cited on the attached LIC 9099-D. Allegation: Staff did not ensure that facility elevators are operable for residents in care. One out of three elevators did not work properly during power outage resulting in resident being stuck in the elevator. On 12/20/2024, one elevator malfunctioned causing to complete stop with four residents in it. Based on interviews and record reviews no reported injuries to residents, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations being cited on the attached LIC 9099-D. Exit interview conducted report signed and copy of this report with appeal rights provided for facility records.