421700457-5-16-2024-29-AS-KBUY-D5GTBR-20240521143533

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700457
Report Date: 05/16/2024
Date Signed: 05/16/2024 10:45:55 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
05/07/2024 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20240507135620

FACILITY NAME:	WOOD GLEN HALL, INC.		FACILITY NUMBER:	421700457
ADMINISTRATOR:	LOURDES ESPINOZA		FACILITY TYPE:	740
ADDRESS:	3010 FOOTHILL ROAD		TELEPHONE:	(805) 687-7771
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93105
CAPACITY:	72	CENSUS: 51	DATE:	05/16/2024
		UNANNOUNCED	TIME BEGAN:	07:58 AM
MET WITH:	Administrator, Lordes Espinoza		TIME COMPLETED:	07:59 AM

ALLEGATION(S):

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Staff do not provide adequate food service to the residents.

INVESTIGATION FINDINGS:

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At 7:45am on 05/16/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the initial investigation visit to the allegation to this complaint. LPA met with Administrator, Lordes Espinoza, announced who he is and the reason for the visit. LPA conducted interviews, collected and reviewd documents, made observations, and sampled breakfast service.

As to the allegation of, "Staff do not provide adequate food service to residents". It was alleged that "the residents have complained to the director about the quality of the food". It was discovered through observations, documentation, photographs, taste sampling foods, and interviews that on 05/16/2024, LPA conducted interviews with Residents 1-12. (R1, R2, R3, etc..), 10 of 12 residents had no issues with facility food in every aspect. interviews with R11 and R12 indicated that quality of food was below their personal standard and quality.
CONTINUED on LIC0900-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Mark Jeffries	TELEPHONE: (805)562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024

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-20240507135620

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: WOOD GLEN HALL, INC.	FACILITY NUMBER: 421700457
	VISIT DATE: 05/16/2024

NARRATIVE

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On 05/16/2024 LPA Jeffries interviewed facility Staff (S1-S5). In interview with S1 stated that the food service at the facility was above average and that most of the Residents had no complaints. S1 stated that they do address the food concerns with residents who do complain. Interviews of S2-S5 all felt that the food service was very good and most of the time all of the residents enjoy the quality, variety, and choice of food here at this facility.

On 05/16/2024, LPA Jeffries reviewed documentation of menus for the past 30 days aw well as the up coming week, which was accurate on the day LPA visited. LPA observed alternate menu with a large variety of food choices to supplement the posted menu. LPA reviewed and collected the NutraLink, Nutricopia dietary contract with, two recent Consultant Dietitian Report Cards from January 2024 and April 2024. January and February of 2024 both scores were 89% in Food Preparation & Meal Service

LPA purchased menu item meal, which was of good quality including a meat, poetry, bread and fruit. On 05/16/2024, LPA observed breakfast service, LPA noted observation of 33 resident that partook of meals with no food complaints during this service, and noted that staff clean up with 90-100% of breakfast served was consumed by residents.

On 05/16/2024 at 7;50am LPA conducted a tour of the kitchen, LPA observed at least 2 days of perishable foods and at least 7 days of non perishable foods, all properly stored, and contained for alt least 51 residents,staff, and visitors. LPA collected and reviewed food vendor list. LPA noted that the facilities long time Chief retired from the facility approximately 6 weeks ago according to current administrator and has been interviewing for a new full time Chief. LPA observed Job Posting on Indeed.com for new Culinary Manager.

Based on observations, interviews, documentation, photographs, food sampling, and regulations, at this time, there is not enough evidence to support the allegation of, " Staff do not provide adequate food service to the residents." and is unsubstantiated at this time.

Exit interview, report read, and report provided.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Mark Jeffries	TELEPHONE: (805)562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024

LIC9099 (FAS) - (06/04)

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