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13 | LPA Amy Rodgers conducted an unannounced visit to investigate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Administrator Neale. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. On January 9, 2025, Community Care Licensing Division (CCLD) received a complaint regarding the facility had bread racks in the walk in Fridge that had mold/fuzzy fungus. Interviews with multiple staff members, that frequent the kitchen as well as the walk in refrigerator, reveal they have never witnessed mold in any part of the fridge or on food. LPA observations and photo evidence reveal the facilities only walk in refrigerator to be organized into categories, floor and shelves were clean, and bread was kept in racks. Bread had delivery dates. The bread rack itself was observed by LPA and did not have mold or fungus.
Based on interviews and direct LPA observations, 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 [Administrator Neale, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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