complaint·October 1, 2024

At 10:13 am LPA conducted a tour of the kitchen area and inspected all food in the refrigerator and freezer and found that at time of visit all items were properly labeled, no expired food was found in the refrigerator and all vegetables were fresh with no evidence of decay. LPA at 10:20 am reviewed pantry area and found a package of chocolate chips with an expiration date of 8/16/24, a package of Pumpkin Spice Pancake mix with expiration date of 7/12/24, and a package of Croutons, with expiration date of 10/6/23. At 10:27 am LPA reviewed cabinet with canned and jarred goods and found 2 jars of Country Gravy with expiration date of 9/15/24. (Pictures taken of all items.) At 10:41 am LPA discussed the allegations with the Administrator. The complainant stated on 9/24/24 a visit was done by the local ombudsman. Complainant stated the following: “observed several food items in the refrigerator that were not properly wrapped or labeled, including bacon and salami, pizza slices dated 9-12-24, cut lettuce that was turning brown, and a bag of green squash with at least one that was very soft." Picture evidence of expired food was provided to CCLD. At this time based on the evidence provided by the complainant, training records provided by facility of expectations, interviews conducted with HM and administrator, and the items found at time of visit by the LPA, the complaint is Substantiated. During preparation for visit LPA viewed facilities history and noted a prior deficiency on 7/1/24 for same Title 22 regulation 87555(a). LPA determined this is a repeat violation and an Immediate Civil Penalty of $250 was assessed for the Repeat Violation. During inspection LPA stated to HM that the training document provided to LPA for prior deficiency had specific requirements regarding how often staff will be inspecting food. The document emailed to LPA on 7/8/24 was, Training In-Service Record document, with title Agenda “Food Safety” dated 7/3/24 which was given to clear prior deficiency, noted the training included: “1. All food stored in refrigerator will be checked for expiration by NOC staff every other day. 2. Food stored in refrigerator will be thrown out after 2 days of being prepared regardless of being staff or house food. 3. NOC staff will check dry goods for expiration every Wednesday and throw away any expired food.” Six (6) staff noted receiving this training. Continued on 9099-C House manager and Administrator both stated they will be “purchasing a small staff refrigerator to separate items that belong to staff”. HM stated, “part of the food found are staffs”. Administrator stated they will conduct training with all facility staff, additionally administrator will do weekly checks of food to ensure staff are following training and regulations. Administrator will provide in-service training document signed by all staff as Plan of correction to LPA. An exit interview was conducted, Citation and Civil Penalty Fee given, and Appeal Rights were discussed with Licensee. Report was provided to Licensee. Please see 809D for citation and LIC 421FC for Civil Penalty Assessment.