Complaint Investigation Report

LPA observed on 1/24/2025 the kitchen to be fully stocked with a variety of food. LPA was also shown photos of clients meals that they take with them to the programs. On 1/24/2025 LPA also conducted a collateral visit to observe R1 at the day program. LPA observed that R1 had a lunch of chicken, rice, and fruits. On 1/24/2025 LPA interviewd W1. W1 was able to show LPA a photo from 10/31/2024 where the clients lunch was a burrito and pizza rolls. LPA did observe that there was a spot of mold on the burrito about the size of an eraser on a pencil. W1 states that since the incident with the moldy burrito the facility has gotten better with sending nutritious lunches. On 4/9/2025 LPA spoke with the House Manager(HM) over the phone who states that in March of 2024 they were made aware by the day day program that they sent a moldy hot pocket. HM states that was the only time moldy food was sent and that they threw away the rest of the hot pockets. HM also stated that after LPA's first visit on 1/24/2025 the facility started serving more vegetables to clients. Although at the time of the visit the facility was serving adequate meals to residents in care it was found through interviews and photos that the facility had previously provided moldy food to residents therefore the allegation " Licensee does not provide adequate food service for resident." is substantiated.

Administrator approved caregiver to sign the report with LPA over the phone.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

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