421700411-9-27-2022-29-AS-KBUY-CJRL4Y-20220930082618

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700411
Report Date: 09/27/2022
Date Signed: 09/27/2022 11:54:30 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2022 and conducted by Evaluator Jeannette Olson

COMPLAINT CONTROL NUMBER: 29-AS-20220617165147

FACILITY NAME:	VALLE VERDE		FACILITY NUMBER:	421700411
ADMINISTRATOR:	SUSAN E PONCE		FACILITY TYPE:	741
ADDRESS:	900 CALLE DE LOS AMIGOS		TELEPHONE:	(805) 883-4193
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY:	547	CENSUS: 369	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Susan Ponce, Administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Food is too high in sodium.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Olson and Kontilis conducted an unannounced subsequent complaint visit to issue final findings on the allegation above. LPAs met with Suzie Ponce, Administrator and explained the purpose of the visit.

It was alleged the facility serves food that is high in sodium, such as Reuben sandwiches, BBQ shrimp, grits and soup.

On 3/22/2022, LPA Kontilis interviewed Executive Director and Director of Dining Services. LPA toured the kitchen and observed the kitchen was clean and sanitary. LPA observed an adequate amount of food and the food appeared to be of good quality. Director of Dining Services stated they have changed their food ordering system and vendors. On 6/24/2022, LPA Olson interviewed Dining Room Manager, who stated they offer a low sodium soup every day, and any items on the menu can be made with lower salt.
Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Jeannette Olson	TELEPHONE: (805) 635-4718
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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 29-AS-20220617165147

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VALLE VERDE	FACILITY NUMBER: 421700411
	VISIT DATE: 09/27/2022

NARRATIVE

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On 9/20/2022, LPA Kontilis toured the kitchen and observed it to be clean and sanitary. LPA observed an adequate amount of food and the food appeared to be of good quality. On 9/20/2022, LPA Kontilis interviewed the Director of Dining Services again, as well as a chef at the facility. Director of Dining Services indicated they will accommodate any special diets indicated on doctor’s orders. They use a computer system and if a resident has a special diet ordered, once the resident’s food order is put into the system, a red box appears with a warning about the allergy or special diet. Dining Services Director stated only one resident has a low sodium diet, and it is a preference, not a doctor’s order. However, they still try to accommodate this preference. LPA Kontilis attempted to interview the one resident in the computer system who has an indicated preference of a low-salt diet. However, the resident did not respond to LPA’s requests for interview. LPA interviewed residents about the food. The concerns about the food were based on personal preference and did not indicate any food was of a poor quality. Dining Services Director indicated the dining room also implemented comment cards for residents to provide feedback on the food. Based on comments cards, they informed their kitchen staff to cut back on salt a little, and the staff have complied. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. However, the LPA recommends the facility continue to make adjustments to the menu and food preparation process based on the resident feedback in the interviews and on the comment cards.

Exit interview conducted, report issued via email.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Jeannette Olson	TELEPHONE: (805) 635-4718
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

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