Complaint Investigation Report

cookies that were being offered to the residents were of the chocolate chip variety. It was learned that the chocolate chip cookies were all handed out to the residents who were present and additional cookies were requested to be made to accommodate the residents who did not receive a cookie. It was learned that the new cookies that were made were of the peanut butter variety and handed out to the residents. Resident R1 received this second batch of cookies and ate the peanut butter cookie. This led R1 to suffer from the allergies and symptoms associated with this medical condition requiring immediate medical care from the local medical facilities.

This facility was found to be deficient of the complaint allegation since they allowed a known resident diagnosed and documented with a food allergy, specifically to peanuts, to consume a food item that was a direct threat to the Health, Safety, and Personal Rights of the resident(s) in care.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was given to the facility designated Administrator, Sheri Kimbro, at this time.