Complaint Investigation Report

Allegation #1: Staff did not meet resident's dietary needs.

On 12/20/2023, LPA Richard conducted an interview with seven staff (S1-S7), all staff stated that the cook follows a meal plan and serve nutritious meals 3 times per day. 7 days a week. S2 stated that not all resident love the food served but the menu has a choice that resident could choose if they don't like what was the main dish. LPA Richard conducted an interview with S2. S2 states that his has been a cook for over 8 years and a cook for the facility for 1 year. S2 stated that S2 follows a meal plan and serves nutritious meals every day. LPA Richard conducted an interview with R1-R10. R1 stated that staff refuses to serve R1 lunch when R1 is out of the facility. R1 stated that the food is not good and not nutritious. 9 out of 10 residents stated that the food is delicious and 9 out of 10 residents have no issues with the food served. LPA Reviewed facility meal plan of residents.

Based on interviews, observations and records reviews the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation of “Staff did not meet resident's dietary needs" is UNSUBSTANTIATED.

Allegation #2: Staff did not clean resident's room.

On 12/20/23, LPA Richard conducted an interviewed with seven staff (S1-S7) all staff and Administrator Michael Mendoza (S1) stated that staff does clean residents’ room 5 days a week. S1 stated that (S2-S3) clean residents’ room 5 times a week and touch every room 4 times a week by taking out the trash and cleaned the bathroom. LPA Richard conducted an interview with (S2-S7). 3 out of 7 staff stated that they clean R1 room 5 times a week and make sure trash is picked up every time. LPA Richard conducted an interview with R1-R10. 9 out of 10 residents stated that staff clean their rooms 4 times a week. 8 out of 10 residents stated that the staff deep clean twice a week. LPA Richard reviewed R1 admission agreement there is no documentation stated how many time the facility need to clean resident’s room.

Based on interviews, observation and record reviews the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation staff did not clean resident's room is UNSUBSTANTIATED.