Complaint·April 20, 2023

Regarding to the allegation of facility staff serves cold meals to resident, the reporting party stated that R1 was served a lot of cold meals and facility was not following R1's diet needs. As part of the investigation, LPA interviewed R1, other residents and facility staff. According to R1, the facility is following the diet restriction and R1 liked the foods but sometimes it was served cold. According to R2, R3, and resident #4 (R4), the food was good but it was served cold and they had to request facility staff to heat it up. LPA interviewed S1 who stated that he/she was not aware that the meals were served cold but many residents asked it to be heated up. After the investigation, this allegation is deemed to be substantiated. Regarding to the allegation of facility staff not keeping resident's legs free from pests- the reporting party stated that there were ants crawling on R1's toes and knees. As part of the investigation, LPA interviewed R1, staff and hospice nurse. According to R1, there were ants crawling on R1's toes. LPA interviewed S1 who acknowledged that there were ants observed to be crawling on R1's toes and it was reported to the administrator. According to hospice nurse, there were ants on R1's bed and by R1's lower extremity. After the investigation, this allegation is deemed to be substantiated. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator, a copy is provided and Appeal Rights provided. LPA interviewed facility staff and both of them were aware R1 and R2's special dietary needs and they stated that they followed it every meal. After the investigation, this allegation is deemed to be unsubstantiated. Although the above investigations 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 allegation is UNSUBSTANTIATED. This report is discussed and review with manager. A copy is provided.