Complaint Investigation Report

LPA investigated the allegation, “Staff are not providing adequate food services to resident.” Based on interviews conducted and a records review, resident was not given adequate food services during lunch meals. Photographs submitted to LPA showed resident’s meal consisted of two slices of bread and a sprinkle of shredded cheese along with a small orange. Another photograph showed two slices of bread and a cup size of chips. Interviews also stated that the resident had been given a sandwich with a slice of cheese and lettuce on the side as a salad with no dressing.

LPA investigated the allegation, “Staff are not treating resident with dignity. Staff neglect resident’s care needs.” Based on interviews conducted and a records review, resident’s care needs were not met, and resident was not treated with dignity. A video was submitted to LPA that showed staff cutting open the resident’s drinking straw. Staff opened the straw, and it was full of mold. The straw had not been washed or cleaned for some time and mold had been growing inside. Resident had been drinking out of the molded straw due to it not being cleaned properly. One deficiency will be cited as LPA substantiated the same regulation violation.

Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, and the California Health and Safety Code are cited on the attached LIC9099-D.

An exit interview was conducted, and a copy of the report and appeal rights were provided.