Complaint Investigation Report

It was reported that the facility staff did not follow Resident (R1)’s diabetic dietary plan due to staff feeding R1 high sugar foods such as bananas, apple pie, peanut butter & jelly sandwiches. Interviews determined Administrator bought the food items and staff did not follow R1's dietary plan in which R1 was fed those items on a daily basis because R1 requested it. Administrator stated they wanted to ensure R1's personal rights to choose their food & snack items. However, the facility failed to notify the doctor and it was not approved in R1's diabetic dietary plan.

It was alleged the facility did not follow COVID-19 precautions. Based on LPA observations, outside interviews, and facility records, it was revealed that staff did not follow COVID-19 precautions. LPA received corroborating statements from outside resources that staff were observed without wearing masks indoors as required. Records revealed there was a lack of documentation for COVID-19 procedures. Additionally, LPA's temperature was not taken on inspection visit dated 09/02/2021.

Based on interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations were found to be SUBSTANTIATED . California Code of Regulations, (Title 22, Division 6 & Chapter 6), are being cited on the attached LIC 9099-D. Appeal Rights Provided.