Complaint Investigation Report

approximate 15 pieces of chicken breaded breast, seven chunk pieces of ground meat were in a pan ready to be cooked, 16 pieces of dinner rolls, three 18qt of orange, lemonade, and fruit punch juices. Plastic cups, glass cups, utensils appeared to be cleaned, sanitized without any remains of food on them, they were on kitchen sink drying out. Cleaning tool supplies including brushes, scrubs, dish soaps and other detergents were observed in the locked kitchen area. Also, on the board there was a message for direct staff instructing them the following: "if the dishes have ants, please put it in the back sink”. Upon inquire of LPA with staff regarding the sign, it was revealed that they had been experiencing some ant’s infestation. Per Administrator, uncovered food is not intended to be served to residents in care, they apparently offer it to staff and if nobody wants to eat it, then they throw it away. However, lunch hours are 11:30am-12:30pm and LPA/ED toured the kitchen area at approximate 2pm (pictures taken). Based on interviews conducted with staff (S2, S3, S4, S5, S6) confirmed that housekeepers are observed daily or constantly cleaning the facility using cleaning supplies or washcloths with soap from the kitchen that appears to be adequate for cleaning. Regarding leftovers foods are either given to staff or put together for residents to eat later or the next day and residents get sick often. There is one chef (S9) that the food that they prepare makes residents constantly to get sick. Based on records review provided by the facility to LPA, there is a quality assurance audit report for dietary, kitchen sanitation, daily cleaning sanitation log, housekeeping, and laundry protocol. Based on an outside vendor report dated 11/28/24, they have conducted a service visit, inspected/treated selected areas, pest activity revealed no findings noted during service, but suggesting addressing sanitation issues found in the interior of kitchen area regarding maintenance bucket with used standing water noted next to the kitchen sink area and excess water noted by the floor around the kitchen dish washing area. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given.

Regarding allegation of staff do not answer resident's calls for assistance. Per Reporting Party, Resident (R1) who is bed bound, calls consistently the night shift staff for assistance using their cell phone, but staff do not answer the phone. Continued on LIC9099C...