Inspector’s narrative
What the inspector wrote
Allegation: Staff does not maintain adequate food supply at facility.
It is alleged the facility does not supply healthy foods and not enough food. It is alleged the facility would buy a rotisserie chicken for the week and tell staff to “figure it out”. It is alleged stated residents “constantly” have leftovers.
Based on interviews conducted, three out of three staff and one out of three residents denied the allegation. One out of three residents confirmed the allegation. One witness confirmed the allegation. One out of three residents could not confirm or deny the allegation. All staff stated the facility provides enough food. No staff recalls a time where the Licensee or Administrator notified the staff to figure out the food to prepare to the residents by only providing a Costco rotisserie chicken. S1 and S2 stated they prefer to cook fresh food for the residents, but the residents request frozen meals and fast food. When they cook they have enough food supplies and provide according to the wants and needs for the residents.
Based on observations, on January 22, 2026, LPA observed and took photos of the freezer and the refrigerator. The freezer had a chicken, ground beef, pizza rolls, Stouffers frozen meal, hot pockets, frozen meal pasta, frozen vegetables, and ice cream. The refrigerator contained eggs, tomatoes, lettuce, cabbage, cucumbers, bananas, onions, string cheese, ensure drinks, Vita coco water, pasta, yogurt, and tortillas. The pantry contained canned vegetables, pasta, bread, condiments, spam, beans, and other canned goods. On March 20, 2026, LPA observed the freezer contained a box of tilapia, bags of ground beef portioned out, frozen vegetables, sausages, chicken, and other frozen items. The refrigerator contained eggs, orange juice, mango, bananas, cabbage, lettuce, carrots, soups, tortilla, container of cream cheese, and other items. The pantry contained canned vegetables, canned soups, pasta, bread, and other condiments.
Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation. It is determined that three out of three staff and one out of three residents denied the allegation.
Continued on LIC9099C
Allegation: Staff does not provide nutritious meals.
It is alleged the facility does not supply healthy foods.
Based on interviews conducted, three out of three staff denied the allegation. Two out of three residents confirmed the allegation. One witness confirmed the allegation. One out of three residents could not confirm or deny the allegation. S1, S2, and S3 stated that the facility has enough fresh and healthy fruits, vegetables, and protein. S1 and S2 stated all caregivers are ready to cook protein, provide fresh fruit and vegetables, and healthy alternatives, but residents always request ensure, microwave food, and fast food. They provide based on what the residents want, and always have fresh fruit, vegetable, and nutritious options available.
Based on observations, on January 22, 2026, LPA observed and took photos of the freezer and the refrigerator. The freezer had a chicken, ground beef, pizza rolls, Stouffers microwave meals, frozen vegetables, hot pockets, frozen meal pasta, and ice cream. The refrigerator contained eggs, tomatoes, cabbage, cucumbers, brocoli, mangos, bananas, onions, string cheese, leftover McDonalds, ensure drinks, Vita coco water, pasta, yogurt, boxes of pasta, and tortillas. The pantry contained canned vegetables, pasta, bread, condiments, spam, beans, and other canned goods. There are healthy and variety of fresh fruits. vegetables, food, and ingredients. On March 20, 2026, LPA observed and took photos of the freezer and the refrigerator. LPA observed the freezer contained a box of tilapia, bags of ground beef portioned out, sausages, chicken, frozen vegetables, and other frozen items. The refrigerator contained eggs, orange juice, leftover food in Tupperware, soups, tortilla, container of cream cheese, mangos, carrots, cabbage, lettuce, and broccoli. The pantry contained canned vegetables, canned soups, pasta, bread, and other condiments. There is a variety of fresh fruits, vegetables, food, and ingredients.
Based on the information gathered, there is not sufficient evidence gathered to confirm the above allegation. It is determined that three out of three staff denied the allegation. LPA observed there is a variety of fresh vegetables and fruits, and other health nutritious ingredients or items.
Continued on LIC9099C
Allegation: Facility does not post menu.
It is alleged that the facility does not post a food menu.
Based on interviews conducted, three out of three staff and two out three residents confirmed the allegation. One witness and One out of three residents could not confirm or deny the allegation. S1, S2, S3, R1, and R2 confirmed there was no food menu posted during the visit. S1 and S2 stated that the facility removed the old menu so that S1 would replace it with a new one. S1 stated they did not make a new menu. Based on observations, on January 22, 2026, LPA observed there was no food menu posted when LPA arrived to the facility. During the visit, the staff printed and posted the old menu to the bulletin board.
Based on the information gathered, there is sufficient evidence gathered to corroborate the above allegation. It is determined that three out of three staff and two out of three residents corroborated the allegation. LPA observed there was no menu when LPA arrived, and the facility printed and posted the menu during the visit.
Therefore, based on the interviews which were conducted, LPA’s observations, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation facility does not post menu deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. One deficiency is being cited on the attached LIC9099D.
Exit interview was conducted and a copy of the report, LIC90999D, appeal rights, and LIC811 were provided to Administrator Suha Abdalla.
Allegation: Staff did not provide an accurate dosage of medication to resident.
It is alleged staff administered R1 the incorrect dosage of the medication (Synthroid). It is alleged that R1 is required 225mg, but was administered 200mg.
Based on record review, R1’s Medication Administration Record for December 2025 and February 2026, and vital signs for 2025 and 2026, do not indicate that an inaccurate dosage of any medication was administered. For January 2026 Medication Administration Record did not have January 27 and January 28 initialed that medication was administered. S2 stated they administered the medication but the document that was originally marked for those dates are when one of liquid medications spilled over that document. They stated they forgot to initial they administered for those days on the new document.
Based on interviews conducted, three out of three staff, two out of three residents, and witness denied the allegation. One resident out of three residents could not confirm the allegation. All staff, R1, R2. And witness stated there was no incident or situation where the staff provided an inaccurate dosage of medication to any resident. Based on observations, LPA has not observed any situation where a staff provided an inaccurate dosage of medication to a resident.
Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegations that the staff does not maintain adequate food supply at facility, Staff does not provide nutritious meals, and staff did not provide an accurate dosage of medication to resident. Although the allegations 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 are Unsubstantiated.
Exit interview was conducted and a copy of the report was provided to Administrator Suha Abdalla.
