complaint·November 6, 2024

R1 was prescribed a special diet by their physician as noted on their physician’s report. California code of regulation (CCR) 87555(b)(7) states, "Modified diets prescribed by a resident's physician as a medical necessity shall be provided.". The facility is providing the prescribed special diet which also complies with the dietary guidelines recommended by the dialysis center. Based on the evidence gathered the allegation is deemed unsubstantiated, 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. The investigation into the allegation, facility staff are not adhering to infection control requirements, revealed the following. It was alleged residents at the facility were ill and the facility failed to implement infection control requirements such as staff wearing masks. LPA interviewed the Administrator, staff and 3 out of 5 residents. 1 resident did not want to be interviewed and the other resident was not present at the facility. 3 out of 5 residents reported they were not ill and are feeling good. Staff reported that all residents cough or sneeze each day but no one reported they were not feeling well and no one is sick. The Administrator reported that none of the residents have been to the doctor recently or diagnosed with any illness. LPA reviewed resident records, there is no recent diagnosis of a contagious disease for any resident. No staff or residents have reported any illness at the facility. At this time because there is no diagnosis of a contagious disease, staff are not required to wear a mask. Based on the evidence gathered the allegation is deemed unsubstantiated, 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. An exit interview was conducted and a copy of the amended report provided. The report was amended to reflect a change in verbiage for the first allegation only.