361880660-3-30-2023-56-AS-NBRN-CQKNW4-20230404104854

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880660
Report Date: 03/30/2023
Date Signed: 03/30/2023 01:56:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/27/2023 and conducted by Evaluator Amber Coleman

COMPLAINT CONTROL NUMBER: 56-AS-20230327121826

FACILITY NAME:	RIALTO ASSISTED LIVING		FACILITY NUMBER:	361880660
ADMINISTRATOR:	KYONG SUK LEE		FACILITY TYPE:	740
ADDRESS:	1441 S RIVERSIDE AVE		TELEPHONE:	(909) 877-2340
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	94	CENSUS:	DATE:	03/30/2023
		UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Tae Kim, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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1. Facility Staff denied resident food.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Rialto Assisted Living Facility to initiate a complaint investigation regarding the allegation listed above. LPA was greeted by office staff, LPA introduced self and stated the purpose of the visit. Staff notified the Administrator, Tae Kim of LPA visit and came to meet LPA.

Today's visit consisted of a review of resident charts, staff and resident interviews and a walk through of the facility's dining room. According to staff interviews, breakfast, lunch and dinner are served 7 days a week. Breakfast served at 8am, Lunch at 12pm and dinner at 5pm. Snacks are offered between those meals as well. Food items such as fresh fruit, graham crackers, cheese, any leftovers from meals prior. An announcement is made over the PA system 15 minutes. prior. Ambulatory residents come in on their own, staff will bring residents and bedridden residents are delivered their meals. In the event, a resident does not care for what is offered on any day, alternative meals are offered. Its recommended that residents sign up for the alternative meal ahead of time so that it can be prepared in a timely manner, but if that doesn't happen residents can ask staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber Coleman	TELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20230327121826

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RIALTO ASSISTED LIVING	FACILITY NUMBER: 361880660
	VISIT DATE: 03/30/2023

NARRATIVE

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By staff and resident's accounts no meal has ever been denied to a resident in care. Staff interviews reflected that there is an abundance of food made available to residents.

LPA walked through the dining rooms and kitchen area and observed that the weekly food menu is posted across the hall. A print version is posted and then written on a white board in large font. Posted to the right of the menu is an alternative menu sign up sheet. Written above is what the alternative meal is, and below are spaces available for residents to sign up up for the alternative meal.

Kitchen staff reported that there is assigned seating in the dining room. Kitchen staff serve the meals to residents on a cart. Odd number dates, staff serve meals in a clockwise rotation. On even numbered dates, meals are served in a counterclockwise rotation. Certain days a resident may be the first to be served, while other days he may be the last served.

During the review of resident records, it was discovered that facility provides care to residents who suffer from memory impairment, mental illness and sometimes terminal illnesses.

LPA inquired about the facility's policy for when a resident misses a meal due to being out of the facility. It was reported that staff will often keep track of the resident's outings and on the day of the appt. staff will call the kitchen to ask that a meal is saved for the resident on the outing. All staff and residents deny that there isn't enough food made available to them.

During the walk through of the facility, LPA observed a number of resident rooms that contained their own personal refrigerators to keep their own supply of food. Residents are also permitted to leave the facility to obtain their own food if preferred.

Based on observations and interviews,we have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies were observed during this visit. An exit interview was conducted where this report was reviewed, discussed and provided the Facility Administrator.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber Coleman	TELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

LIC9099 (FAS) - (06/04)

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