1
2
3
4
5
6
7
8
9
10
11
12
13 | *This is a corrected version for report dated 1/26/23 to add information in LIC 9099D*
On 1/26/23 Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA met with Claudia Cordoba Wellness Director an explained the reason for the visit. Administrator arrived 20 minutes later.
The investigation consisted of the following: LPA Flores requested a copy of staff/resident roster, conducted a tour of the facility's kitchen with Claudia Cordoba wellness director at around 9:45am and 12:00pm and observed refrigerator(s), freezer's, pantry, and staff preparing/serving meals. LPA Flores interviewed resident #1(R1),#2(R2),#3(R3),#4(R4),#5(R5),#6(R6), staff #1(S1),#2(S2),#3(S3),#4(S4), administrator, and review 4 staff files and requested copies of food handling certificates.
The investigation revealed the following: Staff do not follow proper food handling procedures. It is alleged cooking, cooling and holding temperatures of food are not maintain. (CONTINUED LIC 9099C) |
| Substantiated | Estimated Days of Completion: |
|
NARRATIVE |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Interviews with residents revealed 6 out of 6 residents interview stated to not have been sick due to digested food or have been food poison in the last couple of months. Interviews with 5 out of 5 staff interview revealed staff have received food handling training and 2 out of the 5 staff interviewed were aware of proper temperatures for food cooling and maintaining. During the tour of the kitchen at around 12:00pm, LPA Flores requested cook to test the meat tray in steamer maintaining meat warm and temperature tested at 75 degrees F. which is not within department of public health's recommendations for maintaining food warm which is above 135 degrees F. Documents reviewed revealed 4 facility cooks have current/up to date food handling training certificates on file.
Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Regarding allegation: Staff are not taking universal precautions to maintain a clean environment. It is alleged facility is not maintaining equipment sanitation, employee hygiene, and general sanitation guidelines. Interviews with residents revealed 6 out of 6 residents interview stated to observed staff maintaining cleanness in the dining room and wearing gloves, hairnets, and a face mask when serving meals. Interviews with 5 out of 5 staff interview revealed staff have received food handling training, are aware of proper hygiene, and maintain cleanliness within the kitchen and dining are. During the facility's tour at around 9:45am LPA Flores observed coffee maker's drip tray to have build up mold in the corners and seams. Kitchen's cleaning closet next to the sink area was observed and three live roaches were found two in the floor and one in mopping bucket. In the pantry LPA observed 2 pasta boxes open without properly covering them or storing pasta properly to prevent pest or contaminants from entering. Documents reviewed revealed 4 facility cooks have current/up to date food handling training certificates on file.
Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Tittle 22, Division 6 and Chapter 8 are being cited.
Exit interview was conducted with Dennise Torres Administrator and a copy of this report, LIC 9099D, and appeal rights was provided. This report was email for signature. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
03/08/2023
Section Cited
CCR
87555(b)(9) | 1
2
3
4
5
6
7 | 87555 General Food Service Requirements: (b) The following... shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service.
This requirement is not met as evidence by: | 1
2
3
4
5
6
7 | Administrator will ensure equipment is in working condition to maintain the temperature of food above 135 degrees F., and will provide in-service training to food handling staff regarding proper cooling, cooking, maintaining food temperatures, storing, and cleaning/sanitizing kithchen by POC |
 | 8
9
10
11
12
13
14 | Based on observation, and interviews conducted licensee did not ensure food serve to residents in care is maintain at a proper temperature, temperature in meat tray tested at 75 degrees F., open pasta not stored properly, and equipment not clean properly which poses an immediate health, safety, or personal rights violation to the persons in care. | 8
9
10
11
12
13
14 | due date 1/27/23. Deficiency cleared as of 2/13/23. |
Type B
03/08/2023
Section Cited
CCR
87555(b)(27) | 1
2
3
4
5
6
7 | 87555 General Food Service Requirements: (b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.
This requirement is not met as evidence by: | 1
2
3
4
5
6
7 | Administrator will provide a copy of pest control service receipt for treatment of roaches in the kitchen to the department by POC due 2/9/23. Deficiency cleared as of 2/13/23. |
| 8
9
10
11
12
13
14 | Based on interviews conducted licensee did not ensure kitchen was free of insect as 3 roaches were observed in the kitchen's closet which poses a potential health, safety, or personal rights risk to the persons in care. | 8
9
10
11
12
13
14 | |