Complaint Investigation Report

392700109-2-9-2022-27-AS-LKIG-CDDP2Z-20220411105644

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/08/2022 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20220208113938

Food storage, preparation and service is inadequate.

On 2/9/22 at 11:30 pm, Licensing Program Analysts (LPA's) Maja Jensen and Bruce Jacobs conducted an unannounced facility visit in regards to a complaint investigation with the above allegations. LPAs met with Med Tech Sunny Loch later Facility Manager Alisha Hale and explained the purpose of today's visit.

Throughout the course of the investigation LPA's observed the kitchen, pantry, storage areas and dining hall. LPA's observed food stored in containers that was not covered and not labeled. LPA's observed debris and food remnants on the range. LPA's observed produce with the presence of mold. LPA's observed liquid pooling on the refrigerator shelves and on the lid of a dry food storage container.

As a result of this investigation, the Department finds this allegation to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency(ies) cited on the LIC 9099-D, per Title 22 Regulations, Division 6.

An exit interview was conducted, and a copy of this report was provided to facility at the end of this visit.