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Staff interviews revealed that specific canned fruit items such as canned apples and pears were sometimes combined with fresh fruit to accommodate resident chewing and swallowing needs. Resident interviews did not corroborate the allegation, residents informed that the facility offered a variety of fresh fruit and vegetables at each meal. No residents interviewed expressed concern regarding inaccessibility to fresh fruit. Review of facility records revealed invoices of food orders that included fresh kiwi, grapes, pineapple, strawberries, celery, romaine lettuce, bananas, potatoes, spinach, shredded cabbage, and green onions. Records review also showed monthly and daily menus with fresh fruit offerings. During an unannounced facility visit, LPAs directly observed the food supplies, preparation, and meals served to residents. LPAs observed a variety of fresh fruit, including pineapple, cantaloupe, bananas, cut watermelon, sweet potatoes, Russet potatoes, onions, oranges, apples, lemons, limes, shredded carrots, sliced mushrooms, romaine lettuce, celery, and tomatoes. LPAs observed posted signs in two locations of the kitchen advising of the specific fresh fruit to be served each day. LPAs also observed daily menus on dining room tables with the fresh fruit offerings, and a posted monthly menu that also included fresh fruit offerings. Additional records included notes from a monthly meeting between the Director of Culinary services and residents that address fresh fruit offerings and the Licensee's accommodation of such.
Regarding resident communication and language barriers, staff interviews revealed that caregivers did not have issues communicating with residents or caring for their needs. No staff interviewed advised of a resident expressing concerns regarding a language barrier with another staff. Residents interviewed did not advise having communication issues with staff; residents informed that staff were friendly and assisted them with their needs with no language barrier. No records were found to corroborate that staff were unable to meet any resident needs due to a language barrier. During an unannounced facility visit, LPAs observed caregiving, housekeeping, and dining room staff communicating with residents. No communication issues were observed. During staff interviews, LPAs observed caregiving, housekeeping, and dining staff to communicate in a way that was understandable and the staff responses indicated that they understood what was being said.
Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Julia Lopez, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. |