It is being alleged that staff did not serve quality food to clients. CCLD staff toured the kitchen with S2. CCLD staff noted a wide range of food in the refrigerator and noted canned food in the pantry. 3 out of 3 staff indicate that staff serves quality food to clients. 3 out of 3 clients indicate that staff serves good food to them 3 times a week.

Regarding Allegation #2: Staff does not ensure facility has sufficient food supply for clients in care. It is being alleged that the facility does not have enough food for clients in care.

CCLD staff toured the kitchen area and noted there was enough food in the refrigerator and pantry for 3 clients and 2 staff needs. CCLD staff noted food receipts from food for less (dated Sept to Nov 2024). 3 out of 3 staff indicate that staff purchases food 1 to 2 times per week and there is enough food for clients needs. 3 out of 3 clients indicate that there is enough food in the kitchen for them to eat.

Regarding Allegation #3: Staff does not ensure facility disposes of expired food.

It is being alleged that the facility serves expired food to clients in care. CCLD staff toured the kitchen area with S2. CCLD staff inspected the food in the refrigerator and food pantry and could not find any expired food. CCLD staff reviewed food receipts and noted fresh food purchased for the facility. 3 out of 3 staff indicate that they review food stores and would never serve expired food to clients. 3 out of 3 clients indicates that the food is good, and taste find. 3 out of 3 clients indicates that staff would not serve them expired food.

Regarding Allegation #4: Staff does not ensure medications are kept safely secured. It is being alleged that the facility does not secure clients medications.

CCLD staff toured the facility and noted a storage locker for client’s medications. CCLD staff did not see medications left on the facility floor. 3 out of 3 staff indicate that staff locks up the client’s medication when not being given to clients. 3 out of 3 clients indicate that they have their own locker where their medication is kept.

CCLD staff reviewed the MAR for C1-C3 (dated Sept to Nov 2024). CCLD staff noted medications given to clients as prescribed. No errors were found in clients MAR. 3 out of 3 staff indicate that client’s medications are given as prescribed, and they update the MAR.3 out of 3 clients indicate that staff gives them their medications as prescribed.

Regarding Allegation #6: Staff does not ensure facility is kept free from insects.

It is being alleged that the facility has bedbugs. CCLD staff toured the facility with S2. CCLD staff had S2 pull the couch cushions apart and CCLD staff did not see any bedbugs. CCLD staff inspected client’s beds and did not see any bedbugs. 3 out of 3 staff indicate that pest control comes 1 time per month and that there are no bedbugs in the facility. 3 out of 3 clients indicate that there are no bedbugs in their beds or the living room couch or in the facility.

Regarding Allegation #7: Licensee does not ensure staff is in good health and able to perform assigned tasks. CCLD staff noted S2 had a cast on S2 left arm. CCLD staff watched S2 clean the floors and CCLD staff did not notice staff not able to care for the clients needs. S2 indicates that S2 fell outside the facility and injured S2 left arm. S2 indicates that S2 has no problems caring for client needs. 3 out of 3 clients indicate that they take care of their own needs and do not need staff to care for them. 3 out of 3 staff indicate that S2 takes care of their needs.

Regarding Allegation #8: Facility front door is in disrepair.

It is being alleged that the facility front door is not working. CCLD toured the facility with S2. CCLD staff inspected the front door and did not see any damage to the door. CCLD staff opened and closed the front door with no issues. 3 out of 3 staff indicate no issues with the front door. 3 out of 3 clients indicate no issues with the front door.

It is being alleged that the facility does not have a first aid kit. CCLD staff toured the facility and noted 2 first aid kits located in the kitchen area. CCLD staff inspected the first aid kits and all conformed to title 22 regulations. 3 out of 3 staff indicate that they have 2 first aid kits and have never been without a first aid kit for the facility. 3 out of 3 clients indicate that they have seen a first aid kit.

Regarding Allegation #10: Licensee does not ensure the administrator is on the premises the number of hours necessary to manage the facility.

It is being alleged that the administrator does not work at the facility. S1 indicates that S1 works for a school as a principal. S1 indicates that S1 works nights and weekends and works 20 hours per title 22 regulations. S1 indicates that S1 is 30 minutes away from the facility for any emergency. 2 out of 2 staff indicate that S1 works 3 nights and weekends and is on call for emergency. 3 out of 3 clients indicate that they have seen S1 at the facility at night and on weekends.

Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; therefore, the allegations of “staff does not ensure facility serves food of good quality” “staff does not ensure facility has sufficient food supply for clients in care”. “staff does not ensure facility disposes of expired food”, “staff does not ensure medications are kept safely secured”, “staff does not ensure clients receive medications as prescribed”, “staff does not ensure facility is kept free from insects”, “licensee does not ensure staff is in good health and able to perform assigned tasks”, “facility front door is in disrepair”, “staff does not ensure facility has a first aid kit”, “licensee does not ensure the administrator is on the premises the number of hours necessary to manage the facility” is found to be UNSUBSTANTIATED.