Complaint·October 18, 2023

The facility bathroom has mold: On 12/27/2021, LPA interviewed 6 residents (R1 - R6). 5 out of 6 stated the staff cleaned the bedrooms and restrooms every day. 2 out of 6 residents stated there was mold on the top of the restroom. LPA interviewed Administrator (ADM) Lynda Miguel. ADM stated the facility staff cleaned all the residents' bedrooms and bathrooms every day. LPA toured the facility with S1 and ADM including the common area, 4 resident bedrooms and 3 restrooms. LPA found mold on the ceiling of one of the resident restrooms. LPA showed the mold on the ceiling of the restroom to S1. S1 agreed that it was mold. LPA showed the mold on the ceiling of the resident restroom, ADM admitted it was mold and stated the mold would be cleaned up by end of the day. Based on the observation and interviews, mold was found on the ceiling of one of the resident restrooms, and S1 and ADM admitted it was mold. The Department has investigated the above allegation. Based on observation, and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED . Deficiencies are being cited. See LIC 9099-D. Exit interview conducted with ADM. The report was provided to HM for signature. A copy of this report was provided to HM. Page 2 of 2 The facility does not serve food in good quality: On 12/27/2021, LPA interviewed Administrator (ADM). ADM stated the facility provided the meals to residents based on the food menu. ADM stated he/she did the grocery shopping for the facility and he/she tried to shop for different food supplies to make the food meals with changes and varieties. ADM stated it was hard to make each resident fully satisfied. ADM denied the facility provided raw food, expired food or spoiled food to residents. On the same day, LPA interviewed 3 staff. 3 out of 3 staff stated they all took turns to cook breakfast, lunch and dinner based on the menu. 3 out of 3 staff denied they provided raw food or expired food to residents. They all agreed that they provided sandwich for lunch. LPA interviewed 6 residents (R1 - R6), 4 out of 6 residents (R1 - R4) stated the facility food is good. 1 out of 6 residents(R6) was unable to answer the question. 1 out of 6 residents (R5) stated the facility provided the chicken with blood inside and pink inside, he/she stated he/she can cook better than staff but was not allowed to cook. 2 out of 6 residents (R3. R4) stated the sandwich for lunch is fine but they prefer to have hot food for lunch. LPA toured the facility with S1 to check the milk, perishable food and nonperishable food. LPA did not find expired milk or expired food. 2 day perishable food and 7 day nonperishable food were observed sufficient. Based on reviewing the food menu, all the weekday lunches were sandwich and many meals were supplied with "low fat", "low calorie" food. The Department has investigated the above allegation. Based on interview, record review, and observation the department has found the above allegation is unsubstantiated. An unsubstantiated finding indicates that although the allegation may have happened and/or is valid there is not a preponderance of evidence to show the alleged violations did or did not occur. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with HM and a copy of the report was provided. Page 2 of 2.