complaint·December 16, 2025

(Continued from LIC 9099) three of three residents if they enjoyed their breakfast. Three of three residents stated the food was good but the food was lukewarm and not hot. LPA inquired if residents would like the food to be hotter and all stated No. LPA also checked the refrigerator in Memory Care that stores snacks overnight for MC residents. Staff are able to contact the kitchen if the refrigerator needs to be stocked and culinary checks the MC refrigerator at 2:30pm. At 6:30pm, prior to the kitchen closing, culinary stocks the MC refrigerator with sandwiches, fruits and drinks for residents to snack on overnight; if they are hungry. LPA did observe snack and drink items in the refrigerator. At 11:50am LPA observed residents eating lunch in Memory Care. The hot box temperature was at 117 degrees and LPA felt inside the box and found it to be hot. LPA again interviewed residents at lunch time and most stated their food was warm, not hot. LPA asked if residents wanted the food to be warmed up and again, all residents stated they were fine. Based on six of six resident interviews and nine of nine staff interviews, the allegation that Staff do not provide adequate food service is Unsubstantiated. It was alleged that Staff do not ensure residents' medication is given in a timely manner. LPA interviewed six of six care staff who denied this allegation. In Memory Care, the Med Tech has the Memory Care Coordinator as a back-up to provide medications in a timely manner. Medications have a one hour window before the medication time is given; as well as a one hour window after the medication is to be given. There have been no incidents where residents in Memory Care are not receiving their meds. One of six residents interviewed stated they do not get medications in a timely manner and has to wait at least two hours. Five of six residents did not have issues with medications. Nine of nine staff interviews also denied this allegation. Thus the allegation that Staff do not ensure residents' medication is given in a timely manner is Unsubstantiated. Based on LPA observations, record review and interviews, although the allegations above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations that Staff do not provide adequate food service and Staff do not ensure residents' medication is given in a timely manner are Unsubstantiated. An exit interview was conducted with Executive Director, Cynthia Figueroa, and a copy of this report and LIC 811 was provided to the facility.