complaint·March 8, 2024

It is alleged that the facility is not providing adequate food service. On February 23, 2024, at 12:00pm, LPA toured the kitchen and observed the following: There were ample two-day perishables and seven-day non-perishables food items in the refrigerator and pantry as required per regulation. LPA observed the lunch service from 12:09pm to 12:28pm and the facility is following the menu. Residents were having an open-faced turkey sandwich with gravy, mashed potatoes, green beans, and ice cream prepared by Staff #2 (S2). Food was hot, of portion, nutritionally balanced, and served on time. Based on the review of the Resident Council Meeting Notes dated February 7, 2023, it was noted that the residents requested frozen vegetables, easier to spread butter, and wanting more than one serving of juice. In addition, interviews revealed that two out of the five residents expressed concerns that food was cold, lacking variety and in quantity, and the food not being fresh when prepared by Staff #1 (S1). Five out of the five residents indicated that three meals are currently served daily with snacks in between and expressed satisfaction when meals are prepared by S2. Four out of the five staff also corroborated with the allegation when food was prepared by S1. It is alleged that the residents missed medications. Per review of the MARs for the month of February 2024, LPA observed that two out of the five residents did not receive their medications. Resident #1 (R1) was not administered Vitamin D2 for (2) days and Gabapentin was not administered for (27) days for Resident #2 (R2). Although interviews revealed that five out of the five residents and three out of the four staff did not corroborate with the allegation, the evidence obtained per record review revealed that the medications previously mentioned were not administered for two out of the five residents. Therefore, based on LPA's observations, interviews, and the records reviewed, the preponderance of evidence standard has been met, therefore the following allegations: Facility is not providing adequate food service and Residents missed medications are deemed SUBSTANTIATED as per the California Code of Regulations, Title 22, Division 6, Chapter 8. Two deficiencies are being cited on the attached LIC9099-D. An exit interview was conducted with Administrator Sona Hakobyan, and a copy of this report including the LIC9099-C, LIC9099-Ds, LIC811s, and the appeal rights were provided via email at the end of the visit.