Complaint·May 7, 2024

Regarding the allegation: Insufficient staffing during mealtime. It is being alleged that there is understaffing during mealtimes; thus, creating unreasonable delays for residents during mealtimes. On 11/17/21, LPA Rosales interviewed eleven (11) out of eleven (11) staff whom confirmed that there were understaffed and sometimes the wait time for residents to receive their food ranged from twenty (20) to forty (40) minutes. During LPA Saucedo's interview with the administrator, they did state that this was during COVID-19. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there is currently no issue with the staffing during mealtimes and the mealtime wait is reasonable depending on what they are ordering at the time. Based on LPA’s observations, staff, and resident interviews the above allegation(s) is found to be SUBSTANTIATED. Regarding the allegation: Facility is in disrepair. It is being alleged that the roof was leaking. On 11/17/21, LPA Rosales interviewed seven (7) out of eleven (11) staff whom confirmed that the roof was leaking. On 05/07/24, LPA Saucedo obtained documentation that there were repairs being conducted prior to the time of the allegation and the repairs started July of 2021. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there was no roof leakage to any of their rooms and the common areas of the facility. On 05/07/24, LPA Saucedo, also obtained a picture of the dining hall ceiling area that has now been repaired. Based on LPA’s observations, staff, and resident interviews the above allegation(s) is found to be SUBSTANTIATED. This is an amended copy of the report previously issued on 05/07/2024. After review of this complaint, it was determined corrections to the verbiage was warranted. The complaint findings remain the same. Regarding the allegation: Facility menu is not meeting food service requirements. It is being alleged that the food quality is poor not providing soup, salad or any type of desert. On, 11/17/21, LPA Rosales interviewed eleven (11) out of eleven (11) staff confirmed that the menu does show all the different foods that will be provided at breakfast, lunch, and dinner. On 11/17/21, LPA Rosales was able to observe and obtain different menus which list the type of soup, salad and desert that will be provided. On 05/07/24, LPA Saucedo interviewed 22 (twenty-two) out of 25 (twenty-five) residents that confirmed there is no issue with the facility menu. Based on LPA’s observations, record reviews, staff, and resident interviews the above allegation(s) is found to be UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to the administrator.