Complaint Investigation Report

Gapasin's Manor, Stockton08/01/2023Licence 390309907

Census5
Date signed08/02/2023 11:12:54 AM
The inspector’s account

390309907-8-2-2023-27-AS-LKIG-CUPQRP-20230814122416

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

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

06/22/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230622082116

Facility staff are not following the posted menu.

Facility staff are not documenting substitutions made to the posted menu

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to deliver findings for the above allegations. LPA was greeted by staff and explained the reason for the visit.

Based on LPA observation and interviews with S1 and residents R1-R2 allegation 1 - Facility staff are not following the posted menu and allegation 2- Facility staff are not documenting substitutions made to the posted menu are unsubstantiated. While the facility had ingredients, the ability and the time to prepare what was posted on the menu, staff are substituting meals by the request of the residents. A finding of UNSUBSTANTIATED means the preponderance of evidence standard is not met.

Exit interview conducted. copy of report given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction