complaint·September 28, 2024

Page 2 of 2. Medication is accessible to residents. It was alleged medication was left in the refrigerator unlocked and accessible to residents. During visit on 8/1/2023, LPA observed medication for R1 unlocked and accessible in the fridge located in the office. The medications were not locked into the fridge and the fridge did not have locking capabilities. The fridge was located in the office and the office door was not locked. LPA observed 1 resident walking around the facility. Hazardous chemicals are accessible to resident. It was alleged chemicals is unlocked and accessible to residents. During visit on 8/1/2023, LPA observed laundry detergent on the dryer machine, which was located in the office. The office door was not locked, and the laundry detergent was not locked and accessible to residents. LPA observed Clorox Disinfecting wipes in the living room, unlocked and accessible to residents. LPA observed 1 resident walking around the facility. Based on interviews and observation/inspection of the facility, the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. This report was reviewed with Administrator and a copy of the report was provided. Appeal Rights was provided. Page 2 of 3. Staff does not ensure that residents are adequately fed. It was alleged residents were only served breakfast and dinner. On 8/1/2023, the Department interviewed 2 staff (S1-S2). Two of two staff stated the residents are adequately fed and staff will always ask their preference for food. S1 and S2 stated R1 will only have two meal, breakfast, and dinner, per the resident’s preference. On 8/1/2023, the Department interviewed 5 residents (R1-R5). One resident was not available for interview. One out of 4 residents stated the facility staff provide 3 meals and snacks when residents are hungry. During visit on 8/1/2023, LPA observed 2 days of perishable foods and 7 days of perishable foods. LPA observed resident were served breakfast which included waffle, egg, toast, coffee, juice and yogurt parfait with fresh bananas and strawberries. LPA observed residents were served lunch which included spaghetti with meatballs, garlic bread, cantaloupe, juice and pound cake. Based on receipts for groceries purchased from 06/01/2023- 07/19/2023, the facility staff are provided quantity and quality of food to feed the residents at the facility at least 7 days to include 3 meals and snacks each day. Staff does not serve a variety of foods. It was alleged residents only served Filipino food at the facility. On 8/1/2023, the Department interviewed 2 staff (S1-S2). One of two staff stated they serve a variety of food, which includes Filipino food and Chinese food. S1 stated the staff will ask the residents how they want the food prepared and they will change the type of protein each day such as one day will be a chicken entrée and the next day will be a pork entrée. S1 stated each meal is served with vegetables, fruit, and yogurt. S2 stated the staff will always make Filipino food and the resident will eat what they are being served. Page 3 of 3. On 8/1/2023, the Department interviewed 3 residents (R1-R3). Three out of three residents stated the facility staff provide 3 meals and snacks when residents are hungry. R2 stated the variety of food is okay but would like something different. During visit on 8/1/2023, LPA observed resident were served breakfast which included waffle, egg, toast, coffee, juice and yogurt parfait with fresh bananas and strawberries. LPA observed residents were served lunch which included spaghetti with meatballs, garlic bread, cantaloupe, juice, and pound cake. Based on the interviews conducted with residents and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator, Guili "Penny" Xu and a copy of the report was provided.