Complaint Investigation Report

Regarding Allegation #1 : Staff are not following residents’ dietary needs. This complaint alleged that staff are feeding bell peppers and red meat to R1 and not following a dietary plan. LPA Calderon conducted an interview with Administrator Michael Mendoza (A1). A1 states that R1 is not diabetic and would not have a diabetic meal plan based on R1 physician report (dated 07/27/2023). A1 states that R1 did not report to A1 that R1 was allergic to bell peppers or red meat. A1 has requested an updated physician report for R1 diet needs. A1 states that he has spoken to the dining staff and advised them to not serve R1 with peppers or red meat. A1 has given R1 a weekly food menu so that R1 can decide as to what R1 wants to eat. LPA Calderon conducted an interview with R1-R8. R1 states that R1 never advised A1 or staff that R1 was allergic to bell peppers or red meat. R1 states that he is not diabetic and R1 never received any physician order regarding R1 meal plan. R1 states that dining staff have worked with him regarding the peppers and red meat and A1 has given R1 a copy of the menu so that R1 can decide for R1 meals. 7 out of 8 residents state to have no issues with the food served in the dining room. LPA Calderon reviewed the R1 dietary preferences (dated 10/25/2022). Restrictions none, lactose intolerant, does not like red meat. There is no documentation that R1 is allergic to bell peppers or red meat. LPA Calderon reviewed physician report (07/27/2023) for R1. There is no documentation that R1 is diabetic or allergic to bell peppers or red meat. Reviewed incident report (date 10/25/2022) report mentions R1 not a red meat eater, does not like bones or ham.

Regarding Allegation #2 : Staff is not providing housekeeping services to resident in care.

This complaint alleged that staff are not cleaning R1 room. LPA Calderon conducted an interview with Administrator Michael Mendoza (A1). A1 states that staff do not clean any residents room 7 days a week. A1 states that S1-S2 clean residents’ rooms 3 to 4 times a week and touch every room 6 times a week by taking out the trash. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that they clean R1 room 4 times a week and make sure trash is picked up 6 times a week or as needed. LPA Calderon conducted an interview with R1. R1 states that staff do pick up trash from R1 room. R1 states that staff clean R1 room 5 times per week. LPA Calderon conducted an interview with R2-R8. 7 out of 8 residents state that staff clean their rooms 4 times a week. 7 out of 8 residents state that the staff clean their rooms 3 times a week. LPA Calderon reviewed R1 admission agreement (dated 10/25/2022). There is no documentation of how many times staff are too clean R1 room, there is documentation which state, “cleaning bed and bath linens weekly or as often as needed” and “cleaning of residents room”. On 02/07/2024 LPA Calderon inspected R1 room. R1 lives alone and R1 room is clean and there is no trash found on the floor. LPA Calderon noted staff cleaning R1 bathroom and R1 bathroom was clean.