It has been reported that staff are not following the dietary restrictions for Resident #1 (R1). Specifically, kitchen staff have allegedly been serving seasoned foods instead of the required low-acidic, non-seasoned meals over the past two weeks. While (R1's) dietary needs were previously accommodated for periods of 6 to 8 weeks, compliance has recently declined. No additional information has been provided regarding this matter.

On August 3, 2026, between 9:30 AM and 01:20 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) out of the two (2) staff cannot corroborate this claim. Both staff acknowledged their awareness of residents' dietary restrictions and confirmed that meal plans are regularly updated based on physician documentation. Additionally, (S1-S2) informed that the facility has collaborated with Assisted Dining Solutions to manage nutritional dietary requirements, which validates their menus. (R1) is not classified under a "special diet" prescribed by a physician, as confirmed by (R1's) Physician's Report LIC 602A (dated 05/09/24), which indicates no special dietary needs.

While there is a medical note (dated 10/03/25) that is not from (R1's) primary physician, along with a second medical note (dated 01/27/26) from another physician, these documents recommend that (R1) avoid certain foods and food groups. However, they do not specify any clear dietary restrictions. It is suggested that (R1) consult a nutritionist or dietitian to tailor (R1's) diet based on specific symptoms.

(S2) shared that the kitchen is partnered with (R1) to ensure all dietary meal requests are met effectively. A comprehensive weekly meal plan has been created, allowing (R1) to review daily options and alternatives. (R1) is encouraged to suggest any changes or additional choices as needed, which will be included in the "weekly meal plan." This plan is readily accessible upon request each week. (S2) emphasized that any disruption in meal accommodations occurs when (R1) does not submit a complete set of requests for the entire week.

On August 3, 2026, between 10:15 AM and 12:45 PM, the Department interviewed residents identified as Resident #1 through Resident #7 (R1-R7). Six (6) out of the seven (7) residents could not support this claim. (R2-R7) interviewed did not report receiving meals inconsistent with their dietary restrictions or did not have any dietary restrictions.

(Evaluation Report continues LIC 9099-C)

The Department reviewed (R1’s) Physician's Report LIC 602A (dated 05/09/24), which reflected no specified dietary restrictions (e.g., diabetic diet, low-sodium diet). Facility Daily Menus (dated 05/10/26 through 008/08/26) indicated menus approve by Assisted Dining Solutions. Medical Notes (dated 10/03/25 and 01/27/26), Weekly Meal Plan (dated 06/14/26 through 07/25/26), Internal Letter to (R1) RE: Meals and Food Request (dated 10/21/25), and Service Plan (dated 07/29/25).

The Department did not observe any meals being served that contradicted documented restrictions during the visit.

Based on file review, interviews, and observations, there was insufficient evidence to support the allegation.

Allegation #2: Staff are not following resident's admissions agreement.

It is alleged that staff are not complying with Resident #1's (R1's) admission agreement. There have been indications that the facility is failing to uphold the agreements made during admission, which guaranteed a one-bedroom unit with a private bathroom. However, the facility has transformed the existing floor into memory care and had (R1) relocate to a shared room, which is insufficient for (R1's) belongings and furniture. No further details have been provided regarding this situation.

On August 3, 2026, between 9:30 AM and 10:02 AM, the Department interviewed staff members identified as Staff #1 (S1). (S1) recognized understanding of the Admission Agreement's terms and agreed to adhere to the specified services, which include supervision, help with Activities of Daily Living (ADLs), meal provisions, and the lease agreement. (S1) clarified that the Resident Lease Agreement for (R1) indicates single apartment occupancy. In this regard, "single" does not mean a "private room" as mentioned in the agreement. Furthermore, (R1) is participating in a program that requires a private or semi-private room equipped with a full bathroom, kitchenette, refrigerator, microwave, and sufficient storage space for supplies. (R1) is being moved to a semi-private room on an assisted living floor and is compliant with the Resident Lease Agreement (dated 08/17/24).

(Evaluation Report continues LIC 9099-C)

(R1) was interviewed and mentioned that she had been occupying a private room but now must move to a shared room. (R1) expressed concerns about accommodating all (R1’s) personal furniture in the new space. (R1) also claimed that the facility violates the Resident Lease Agreement (dated 08/17/24), which notes that (R1) is entitled to a "single" unit.

On August 3, 2026, between 01:03 PM and 01:23 PM, the Department interviewed witness identified as Witness #1 (W1). (W1) confirmed that (R1) is a participant of the program and that the program requires a private or semi-private room equipped with a full bathroom, kitchenette, refrigerator, microwave, and sufficient storage space for supplies. (R1) did not have a kitchenette, refrigerator microwave in (R1's) current room and stated that it would benefit for (R1) to have these amenities as (R1) has dietary recommendations.

The Department reviewed the Resident #1’s (R1’s) Rental Lease Agreement (dated 08/17/24), DHCS Amenity Form (dated 06/24/24), Regency Palms Memory Care and Assisted Living Floor Plans, Facility Sketch and which documented the services the facility agreed to provide. Review of Service Plans, Admission Record (dated 06/24/24), and Email communications (dated 08/03/26) and staff notes did not show discrepancies between the services promised and the services delivered.

The Department inspected memory care room #507, which includes a sleeping area and private bathroom. Assisted living room #803 features a shared hallway with a kitchenette and bath, along with two private bedrooms: bedroom #1A and bedroom #2B, both equipped with storage. The bedrooms are fully separated by floor-to-ceiling walls and doors.

Based on file review, interviews, and observations, there was insufficient evidence to support the allegation.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

No deficiencies cited.

An exit interview was conducted with Robert Jakini, and copies of the reports were provided.