Complaint Investigation Report

157209297-8-7-2025-24-AS-AWAN-DKHLY5-20250813090947

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

07/14/2025 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20250714111803

PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENS

Staff do not ensure that refrigerator is maintained at an appropriate temperature

On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by staff, stated the purpose of the visit and was allowed entry into the facility. Administrator arrived to the facility shortly after LPAs arrival.

The Department investigated the above allegations. On 07/18/25 at 10:51 AM, LPA Vega toured the facility and observed 2 refrigerator's, one refridgerator thermometer temperature read 53 degrees F and the 2nd refridgerator read at 56 degrees F. Refrigerator was observed to have a supply of perishable fruits and vegetables, 2 containers of ricotta cheese equaling approximately 6 pounds and 5 containers of salad dressing (thousand island and ranch) that had been opened and covered with a lid.

Based on LPAs observations during facility tour, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted with Administrator. A plan of correction was completed prior to LPAs arrival. LPA toured the kitchen and observed the refrigerator to read at 37 degrees F on today's visit. POC is cleared, refrigerator has been repaired. A copy of this report and appeal rights were discussed and provided to Administrator.