Complaint Investigation Report

Upon investigation, the Department interviewed Residents (R), multiple residents stated that no snake was provided between meal times, R1 stated that he bought his own snacks or give money to Administrator to buy food for him. R7 stated if he was hungry then waited for meal time. Staff (S), S3 stated that she has never told to make snacks for residents.

The Department reviewed 4 Menus and found that breakfast did not match the Menu this morning. Menu shows Cereal, Scrambled Eggs, Fruit Juice and Coffee/Milk but residents were served one pancake and coffee/milk. S3 stated that scrambled eggs and bacon listed on menus were rarely made. Residents claimed that they have never seen the menu or did not know there was menu at the facility.

Based on interviews and records review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.

The following deficiency (LIC 9099-D) was cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.