Complaint Investigation Report

507000307-5-23-2024-27-AS-LRIS-D7223W-20240709170259

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

03/18/2024 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20240318103436

Staff do not meet resident's dietary needs.

On 5/23/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegation. LPA Jensen met with Administrator Prithika Singh and explained the purpose of today's visit.

During the course of this investigation LPA Jensen reviewed 5 resident files. 1 of 5 resident files contained a physician report that states Resident 1 (R1) requires a soft mechanical diet. LPA Jensen interviewed the kitchen manager who stated they were not aware of any dietary restrictions for R1. LPA Jensen inspected the kitchen and observed postings in the kitchen that consisted of lists of residents who require chopped food, diabetic diet and foods specific people would like to avoid. According to kitchen staff those are the only dietary restrictions. Based on record reviews, interviews and LPA Jensen's kitchen observations, the allegation of "staff do no meet resident's dietary needs" is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met. A deficiency is being cited pursuant to the California Code of Regulations (CCR). An exit interview was conducted and this report, appeal rights and a confidential names list was given