Complaint Investigation Report

Allegation: Staff are not providing adequate food service to residents

During investigation, LPA observed that the facility does not have an adequate supply of food at the facility. The facility has a total of 5 clients with 2 clients diagnosed with diabetes. On 04/17/25 at 1PM, LPA toured the facility with staff (ADM, S1) including but not limited to the kitchen, common areas and garage. LPA observed half a tray of fresh eggs, some vegetables, milk, juice, condiments, frozen ground meat, hot pockets, pizzas, cheese in the refrigerator / freezer as well as a limited supply fresh fruit on the kitchen counter top (2 apples, a bag of clementines and one banana). Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that are not providing adequate food service to residents was found to be substantiated.

Civil penalty of $250 assessed during visit for repeat violation of Section 85076 (d)(1).

Allegation: Staff do not have adequate toiletries for residents

On 04/17/25 at 1PM, LPA toured the facility and observed a limited supply of paper products (paper towels and toilet paper) in the clients’ bathrooms, kitchen and garage storage cabinets. LPA observed the facility did not have a minimum 30 days supply of paper towels and toilet paper. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff do not have adequate toiletries for residents was found to be subtantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted, appeal rights and copy of report provided.