Complaint Investigation Report

107209230-8-21-2025-24-AS-SMOA-DLKKWC-20250916081544

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/11/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250811100753

Facility staff do not ensure resident's dietary needs are met

On 8/19/25 at 9:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and investigate above allegation and delivered findings. LPA met with Administrator (A1) Martha Vasquez and stated purpose of the visit.

The Department reviewed records and conducted interviews with staff, residents and facility Administrator. The Department toured the facility and checked all food supply. Staff was preparing lunch at 11:00am. A1 provided LPA a monthly menu along with a 30 day Activity Calendar.

Based on interviews that were conducted residents stated there are no issues with the food and staff are following dietary needs. LPA observed a menu and an adequate supply of perishable and non-perishable food. A1 has provided records, progress notes and Physician's reports that includes R1's behaivors, mental impairments and disabilities.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was provided to Administrator whose signature confirms receipt of this report.