Ivy Park of Monterey

Allegation investigated: Facility staff do not prevent resident(s) from smoking in the non-smoking areas of the facility.

On 05/27/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility to commence complaint investigation and deliver findings. LPA introduced self and met with administrator Andrea Ramirez and was allowed entry. During this complaint investigation LPA toured the facility conducting health and safety checks, reviewed facility records, and interviewed administrator, staff, and resident. Allegation: Facility staff do not prevent resident(s) from smoking in the non-smoking areas of the facility. Based on observation during investigation, R1 smoke across from facility parking lot by the walk way, the facility approved smoking area. Based on interviews, staff accompany and ensure R1 to smokes in designated spot. Although the alleged violation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occur, therefore the allegation is Unsubstantiated. Exit interview conducted, report signed and copy of this report provided to health services director for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 27, 2026 · control 24-AS-20260526121858

Type of visit: Required - 1 Year

On 05/12/2026, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Andrea Ramirez, certification number 6069717740 and expiration date 04/21/2028. LPA conducted tour inside and out of facility with AD. Residents observed at the facility during and after lunch time. The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 02/20/2026. Last fire drill recorded on March 11th, 2026 with residents participation and observation of staff utilizing facility evacuation chairs. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week on Thursdays. Refrigerator temperature was maintained at 36- degrees F. and freezer was maintained at -0- degrees F. The facility comprised of three level sections. Census during visit is 89 assisted living and 31 memory care residents. Upper level of the facility designated for assisted living residents and mild dementia residents. Main level divided on two sections: one comprised of assisted living section, common area, dining rooms and main kitchen, and another is memory care with its own dinning, common room and medication room are separated by door with access code. LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 114 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Report continues on attached LIC809-C Medications were stored in a locked medication room. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked in for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents files requested and reviewed during the inspection visit. Residents and staff files reviewed for required information including training, certifications, and clearances. No deficiencies issued during this inspection. An exit interview was conducted with the ED. A copy of this report was given to the ED, whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, May 12, 2026

Allegation investigated: Staff are inappropriately charging resident unnecessary fees Staff are threatening resident

On 02/24/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility to deliver findings to complaint investigation. LPA introduced self and met with health services director. LPA stated purpose of the visit and was allowed entry. During this complaint investigation LPA toured the facility conducting health and safety checks, reviewed facility records, and interviewed administrator, staff, and resident. Allegations: Staff are inappropriately charging resident unnecessary fees and Staff are threatening resident. Although the alleged violations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations occur, therefore the allegations are Unsubstantiated. Exit interview conducted, report signed and copy of this report provided to health services director for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 24, 2026 · control 24-AS-20260108091256

Allegation investigated: Staff do not tend to the residents bathing needs Staff do not respond to resident's calls for assistance in a timely manner Staff do not ensure that residents are eating their meals Staff leave resident on the floor after falls for a prolonged period of time

On 02/05/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility to deliver findings to complaint investigation. LPA introduced self and met by administrator. LPA stated purpose of the visit and was allowed entry. During this complaint investigation LPA toured the facility conducting health and safety checks, reviewed records, and interviewed administrator and staff. Allegations: Staff do not tend to the residents bathing needs, Staff do not ensure that residents are eating their meals. Based on staff interviews and records review, each resident's offered baths according to contract. Refused showers/ baths documented and followed up on. Regarding meals, Residents consuming meals in dinning area or in private room, residents assisted by staff with meals set up. Baths and meals intake documented in facility records. Report continues on attached LIC9099-C Unsubstantiated Allegations: Staff leave resident on the floor after falls for a prolonged period of time, Staff do not respond to residents calls for assistance in a timely manner. Based on staff interviews facility area is monitored by staff every 2 hours during NOC shift. During the day, staff attend to residents more frequently because of meals, baths, care plans, and medications procedures. Additionally, facility equipped with call light system that allows residents to request help when staff is not in proximity. Based on records review falls documented and reported to Licensing office. Although the alleged violations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are Unsubstantiated. Exit interview conducted, report signed and copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Feb 5, 2026 · control 24-AS-20251205145348

Allegation investigated: Staff do not treat resident with respect

On 02/05/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility to commence complaint investigation. LPA introduced self and met by Administrator, LPA stated purpose of the visit and was allowed entry. During the complaint investigation LPA toured the facility conducting health and safety checks, reviewed records, and interviewed administrator, staff, and resident. Allegation: Staff do not treat resident with respect. Based on observation and facility personnel interviews no concern reported and observed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. Exit interview conducted, report signed and copy of this report provided for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 5, 2026 · control 24-AS-20260202105103

Allegation investigated: Staff confiscated residents' personal belongings.

On 12/02/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to deliver findings on a complaint investigation. LPA explained the purpose of the visit to administrator Andrea Ramirez and was allowed entry. During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records. The Department has investigated the allegation: Staff confiscated residents' personal belongings. Based on interviews and record reviews, staff notified residents on October 1st, 2025 of removing name plaques and shadow boxes off the front wall due to privacy concerns. Residents offered to keep items removed inside the apartments and maintenance personnel will assist to hang them up correctly per residents request. Although the allegation may have happened or valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, report signed and copy of this report provided to facility administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 24-AS-20251022102603

Allegation investigated: Staff do not provide adequate laundry services. Staff are not meeting residents' hygiene needs.

On 09/25/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced 10-day complaint investigation. LPA explained the purpose of visit to administrator Andrea Ramirez. The Department has investigated the allegations: Staff do not provide adequate laundry services. Based on observations during facility visits and records review, the laundry services provided to residents on the same day as shower scheduled day. Per staff interviews no reports of incompleted laundry documented. Regarding, Staff are not meeting residents' hygiene needs. Based on records reviews and interviews, hygiene provided to residents on regular basis, in the morning and after meals, hygiene refusal documented, reported to lead staff and re attempted once more on different shift. Although the allegations may have happened or valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were cited during this visit. Exit interview conducted, report signed and copy of this report provided to facility administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 24-AS-20250917090319

Allegation investigated: Staff did not timely address the residents change in medical condition Staff are not meeting the residents bathing needs

On 09/16/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to deliver findings on a complaint investigation. LPA explained the purpose of the visit to administrator Andrea Ramirez and was allowed entry. During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records. The Department has investigated the allegations: Staff did not timely address the residents change in medical conditions. Based on interviews and record reviews, resident (R1) was provided medication for rush once resident skin was evaluated during shower time. The residents was provided with cream per prescription. Report continues on attached LIC9099-C Unsubstantiated Regarding, Staff are not meeting the residents’ bathing needs. Based on staff interviews and reviews, residents offered showers as scheduled. Resident refusal documented and tried on different schedule. During the tour, resident was observed in common area, cleaned, with no odor. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore above allegations are UNSUBSTANTIATED. No deficiencies issued. Exit interview conducted. Report signed on-site. A copy of this report with appeal rights was discussed and provided to the facility representative.the state’s words, verbatim · CDSS document, Sep 16, 2025 · control 24-AS-20250908120257

Type of visit: Case Management - Other

On 09/16/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced follow up Case Management visit. LPA introduced self, stated purpose of visit and allowed entrance. LPA met with Administrator Andrea Ramirez to conduct the visit. The purpose of this follow up visit is regarding the incident report recorded on September 2nd, 2025. During this visit LPA Gorban toured the facility conducting health and safety checks. During this visit LPA was notified that S1 was suspended on September 9th, 2025 pending investigation and officially terminated on September 16th, 2025. Administrator responded S1 will be removed from facility roster by human resource personnel and updated personnel records will be provided to LPA by email. Per administrator, law enforcement and ombudsman were notified of the incident. LPA requested facility files for review. This case management requires further investigation. Deficiencies cited on attached LIC809-D An exit interview was conducted and a copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Sep 16, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(a) · Plan of correction due date: Sep 30, 2025

Plan of Operation. (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. This requirement was no observed as evidenced by: Based on the records review and interview, staff ( S1) was accepting material gifts and gratitude from resident (R1) which restricts based on plan of operations. This is poses potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 16, 2025

Plan of correction: Administrator will provide all staff training regarding the accepting gifts and gratitude from residents and other parties. Completed personnel training will be provided to LPA /Licensing office by POC due date.

Type of visit: Case Management - Incident

On 09/04/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit and allowed entrance. LPA met with Administrator Andrea Ramirez to conduct the visit. The purpose of this visit is regarding the incident report recorded on September 2nd, 2025. During this visit LPA Gorban toured the facility conducting health and safety checks, interviewed administrator and resident (R1). Staff (S1) was not available for interview. Per administrator, law enforcement and ombudsman were notified of the incident. LPA requested facility files for review. This case management requires further investigation. There were no deficiencies cited at this time. An exit interview was conducted and a copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Sep 4, 2025

Allegation investigated: Staff did not ensure resident's room is in good repair

On 08/21/2025, Licensing Program Analyst (LPA) V. Gorban conducted an initial complaint inspection. LPA met with administrator Andrea Ramirez and stated the purpose of the visit. LPA delivered findings after conducted an inspection of the facility. Based on LPA’s observations, toured of the facility, and the interviews conducted, room 108 of the facility had water damage from a leak from the upper floor. The allegation that staff do not ensure resident’s room is in good repair is Substantiated. Deficiency is cited on the attached 9099-D. Appeal rights were provided and exit interview was conducted with administrator. Substantiatedthe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 24-AS-20250811234827

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Aug 25, 2025

87303 Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include procedures for the safety and well-being of residents, employees and visitors. This requirement was not observed as evidenced by: Based on observations and interviews, facility staff did not start repair till August 15th, of 2025. Water leak was observed on August 09,2025. This is poses potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 21, 2025

Plan of correction: Administrator agrees to provide a test/statement results regarding wall contamination in room 108. Date to visit and report will be provided to LPA by email by 08/25/25.

Allegation investigated: Staff do not keep the facility clean and sanitary Staff do not manage care of pets in the facility

On 08/21/2025, Licensing Program Analyst (LPA) V. Gorban conducted an initial complaint inspection. LPA met with administrator Andrea Ramirez and stated the purpose of the visit. LPA delivered findings after conducted an inspection of the facility. Based on LPA’s observations, toured of the facility, and the interviews conducted, LPA did not observe stains or urine on the floor in the common areas and rooms toured. Based on interviews conducted, residents at the facility are allowed pets in the facility provided that the resident is able to care for the pet. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. Exit interview was conducted, report signed and copy of this report provided to administrator for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 24-AS-20250812153320

Allegation investigated: Staff are not adequately trained Inadequate staffing affecting resident care

On 07/01/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced complaint investigation visit. LPA explained the purpose of visit to Resident Care Coordinator Karina Ramirez . During the course of the investigation, LPA conducted a facility conducted a facility tour, interviewed residents, and reviewed records. The Department has investigated the allegations: Staff are not adequately trained and Inadequate staffing affecting resident care. Based on observations during facility visits, staff interviews, and records review, staff training completed on monthly bases. Regarding inadequate staffing, records reviews and staff interviews reveal no interruptions while providing residents care. Although the allegations may have happened or valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. No deficiencies were cited during this visit. Exit interview conducted. Report signed on-site. A copy of this report provided to the facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 24-AS-20250624092008

Type of visit: Case Management - Other

On 06/10/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit and allowed entrance. LPA met with Administrator Andrea Ramirez to conduct the visit. The purpose of this visit is to verify that Staff (S1) is not on the property. LPA provided a copy of Decision and Order to administrator via email on June 3rd, 2025, as mailed copy was sent to corporate office. Administrator understands that S1 is excluded and not permitted to be on the grounds at any time. Per administrator, there is no current record of any employee by the name employed at this location. There were no deficiencies cited. An exit interview was conducted and a copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Jun 10, 2025

Type of visit: Required - 1 Year

On 05/29/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Andrea Ramirez, certification number 6069717740 and expiration date 04/21/2026. LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch time. The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 02/20/2025. Last fire drill recorded on April 2nd and April 17th, 2025. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week on Thursdays. Refrigerator temperature was maintained at 34-degree F. and freezer was maintained at 0-degree F. The facility comprised of three level sections. Census during visit is 89 assisted living and 34 memory care residents. Upper level of the facility designated for assisted living residents and mild dementia residents. Main level divided on two sections: one comprised of assisted living section, common area, dining rooms and main kitchen, and another is memory care with its own dinning, common room and medication room are separated by door with access code. LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 117 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Report continues on attached LIC809-C Medications were stored in a locked medication room. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked in for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents files requested and reviewed during the inspection visit. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. With effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 9020 Register of Facility Clients/Residents Please submit the above forms/information to Fresno CCL by: 06/02/2025 As an operator of a Community Care Licensed facility, it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the ED. A copy of this report was given to the ED, whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, May 29, 2025

Allegation investigated: Staff are not meeting the residents showering needs Staff are not meeting the residents laundry needs

On 05/28/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced subsequent complaint investigation to deliver findings. LPA explained the purpose of visit to administrator Andrea Ramirez. During the course of the investigation, LPA conducted a facility conducted a facility tour, interviewed residents, and reviewed records. The Department has investigated the allegations: Staff are not meeting the residents showering needs. Staff are not meeting the residents laundry needs. Based on observations during facility visits and records review, the residents missed their showers due to refusal with additional attempt made later in a day. No missed laundry reported based on records review and residents and staff interviews. Although the allegations may have happened or valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiencies were cited during this visit. Exit interview conducted. Report signed on-site. A copy of this report provided to the facility administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 28, 2025 · control 24-AS-20250505141921

Type of visit: Case Management - Other

On 05/28/25, Licensing Program Analyst (LPA) V Gorban arrived to the facility unannounced to conduct a case management visit. LPA met with administrator Andrea Ramirez and explained the reason for the visit. During this visit LPA toured the facility, observing residents in care performing safety check and interview staff and residents. Based on interview and records review the facility provide incident report to Licensing office on 5.21.25 which is out of reporting requirements. A deficiency is being issued in accordance with California Code of Regulations, Title 22, on the attached 9099-D. Exit interview conducted. Report signed on-site. A copy of this report and appeal rights were discussed and provided to the facility representative.the state’s words, verbatim · CDSS document, May 28, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a) · Plan of correction due date: Jun 2, 2025

87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: This requirement was not observed as evidenced by: The facility failed to notify Licensing agency within seven days of the occurrence of any of the events specified in (a) wich poses potential halth and safety risk to presons in care.the state’s words, verbatim · CDSS document, May 28, 2025

Plan of correction: The facility administrwtor agrees to provide a plan of correction (formal letter/ statement) to provide to LPA by email by POC due date.

Allegation investigated: Staff behavior posed as risk to the residents

On 02/05/2025, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver complaint investigation findings. During this visit LPA met with facility administrator Christopher Schuster and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed residents in care. Allegation: Staff behavior posed as risk to the residents. Based on observation during both facility visits on November 27th and February fifth, records reviews and staff interviews the facility administrator was notified of staff (S1) in possession and consumption of alcoholic beverage while on the clock, S1 was immediately pulled out of shift, interviewed by administrator and dismissed from facility property at 8:40 PM. Facility called uber to provide transportation to C1 for safety purposes. No deficiency was observed or cited during this visit. Exit interview conducted, report signed and copy of this report provide for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 5, 2025 · control 24-AS-20241125121432

Allegation investigated: Facility staff are not maintaining facility in good repair

On 11/27/2024, Licensing Program Analyst (LPA) V. Gorban visited the facility to commence complaint investigation. During this visit LPA met with facility administrator Christoph Schuster and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed clients in care. Allegation: Facility staff are not maintaining facility in good repair. Based on records review and staff interviews the facility had power generator turn in on November 5th, 2024. Residents and staff stated that besides power generator, alternative power source was provided to residents that utilize oxygen equipment. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, report signed and copy of this report with appeal rights provided to administrator for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 27, 2024 · control 24-AS-20241122101351

Type of visit: Case Management - Incident

On 09/06/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a case management inspection. LPA met with Business Office Director Lynn Tran and announced the purpose of the inspection. The purpose of the inspection was to follow-up on an incident which occurred on 08/15/2024. On 8/15/2024, care provider (CP1) was observed by another care provider (CP2) while assisting with shower and being on the phone using face time video facing resident violating resident personal rights. CP1 was suspended on 08/16/2024 pending investigations. Responsible party of R1 was notified of the incident. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited on the attached LIC 809-D. Failure to correct the deficiency may result in civil penalties. An exit interview was conducted, and a copy of this report provided to the licensee via email. Appeal Rights (LIC 9058) were provided to the licensee. Exit interview conducted, report signed and copy of this report with appeal rights provided for facility records.the state’s words, verbatim · CDSS document, Sep 6, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Sep 10, 2024

87468.1 Personal rights. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on records review staff/care provider CP1 while providing ADL/shower to R1, had a phone with turned on facetime facing the resident. resident. This poses potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2024

Plan of correction: The facility implemented staff training including monthly all staff meetings .....

Allegation investigated: Staff did not provide adequate food service to resident in care.

On 6/13/2024, Licensng Program Analyst (LPA) D. Ayers arrived unannounced to conduct an initial complaint inspection. LPA met with Executive Director Kellie Shearer and announced the purpose of the visit. During the visit, LPA toured the facility, conducted staff and resident interviews, and reviewed records. Allegation: Staff did not provide adequate food service to resident in care. During resident interviews, multiple facility residents stated that the food service is adequate. During inspection, facility perishable and nonperishable foodstuffs appeared to be adequately stored and prepared. The facility had menus priominently displayed for residents. Facility staff provide alternate meal options for every meal. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director, and a copy of the report was provided via email. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 13, 2024 · control 24-AS-20240611095935