Complaint Investigation Report

107209036-7-1-2025-24-AS-SPIY-DMEPWA-20251013114025

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

06/27/2025 and conducted by Evaluator Katie Brown

COMPLAINT CONTROL NUMBER: 24-AS-20250627110501

Facility does not ensure Physician ordered diets and restrictions were followed

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the initial complaint investigation. LPA spoke to Administrator (AD) Heidi Setty on the phone during the visit. LPA met with and explained the reason for the visit and the elements of the allegations with Marketing Director, Mary Davis. LPA delivered investigation findings to the facility during this visit.

This Department investigated the allegation: Facility does not ensure Physician ordered diets and restrictions are followed. Staff interviews were conducted which revealed the facility procedure for communication with chef/kitchen staff. Record Review of Resident Dietary Information was conducted and LPA observed dinner being served in Memory Care. Specific resident information was not provided. Based on interview and record review the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur.

There were no citations issued. An exit interview was conducted and a copy of this report was provided.