Complaint Investigation Report

Record review revealed 15 out of 15 staff have their food handler certifications. On 03/21/25, a third-party vendor conducted an inspection, and the record revealed that employee training was not needed. Six out of six staff (S2 – S7) interviews indicated they use gloves while handling raw foods. Interview with S3 indicated that staff wash their hands at all times and whenever they switch jobs they immediately wash their hands to prevent contamination. During the kitchen tour, LPA Cloyd observed staff wearing gloves while preparing pizza and sandwiches. LPA observe a Sanitation & Food Safety sign that discusses food handling. During the dining room tour, LPA did not observe staff wearing gloves while serving residents.

Regarding the allegation “Facility staff do not prepare meals in a sanitary manner," based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

Regarding the allegation "Facility staff do not follow proper food and general sanitation practices,” it is being alleged food is improperly stored; for example, staff often place uncovered raw food next to uncovered cooked food in the refrigerator. It is also alleged that kitchen staff store unlabeled items, such as condiments, making it unclear whether these items are expired or not. It is alleged the kitchen is filthy, the vent over the stove is grimy and covered in layers of black soot and the mop used to clean the kitchen and dining area is dirty and has not been cleaned for months.

Six out of six (S2-S7) staff interviews indicated food is properly stored and items are labeled with expiration dates. Interview with S2 indicated that uncooked food will always be on the bottom shelf and cooked food would be above it; never next to each other. During kitchen tour, LPA Cloyd did not observe uncovered raw food next to uncovered cook food in the refrigerators. LPA observed labeled condiments with prepared and expired dates. Though the expired dates were in the time slot. LPA observed refrigerator posters for proper food storage order: ready-to-eat foods, raw seafood, raw whole meats, raw ground meats, and raw poultry (should be stored from top to bottom). LPA observed quick reference guides for how long dry goods and frozen foods can be stored.