374604045-7-7-2025-18-AS-RSTS-DKZTJK-20250829144626

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604045
Report Date: 01/28/2025
Date Signed: 07/07/2025 02:45:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2025 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250127100237

FACILITY NAME:	HIDDEN GLENN SENIOR LIVING VI		FACILITY NUMBER:	374604045
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	662 TRANQUILITY GLEN		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 14	DATE:	01/28/2025
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Brigitta Lofvendahl, Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff served expired food to a resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation for the allegation listed above. LPA met with Brigitta Lofvendahl, Administrator and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, and the investigation consisted of observations interviews and records review. On 01/27/2025 Community Care Licensing received a complaint alleging that staff served expired food to a resident in care.

Regarding the allegation of staff served expired food to a resident in care. It was alleged that the staff had served expired yogurt to resident's in care. LPA observed for the lunch that was served (BBQ chicken, salad and rice) to be fresh (vibrant in color, and fresh aroma). Per an interview with Executive Director Brigitta Lofvendahl the facility is apart of the food program and receives food donations on a daily basis. In addition there is a weekly food order that the facility places from a commercial food supply company. Per Executive Director, the lead caregiver is responsible for checking the food each shift.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

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 18-AS-20250127100237

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: HIDDEN GLENN SENIOR LIVING VI	FACILITY NUMBER: 374604045
	VISIT DATE: 01/28/2025

NARRATIVE

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LPA conducted interviews with multiple residents who could not corroborate what was alleged, as they could not recall being served expired food, hearing anyone saying that the food was expired or the food tasting or smelling like it was spoiled. Residents shared that there are not any concerns with the food, as they are served 3 meals a day as well as 2 snacks and are given more when they asked. Per interviews with staff food deliveries are received daily, and checked at the initial time of receipt. Staff denied receiving reports from residents and having being served expired food, in addition if there is expired food is noticed it is discarded.

During today's visit LPA inspected the facility's food supply and observed for the food supply to be sufficient LPA observed for there to be two (2) containers of yogurt with a date stamp of 1/15/25 and 1/19/25. There were several jugs of milk and loaves of bread that had a sell by date that extended back to 1/21/25. According to the USDA Food and Safety and Inspection Service there are commonly used phrases such as A "Best if used by/Before" date indicates when a product will be best flavor or quality. It is not a purchase or safety date. A"Sell-by" date date tells the store how long to display the product for sale inventory management. It is not a safety date. A "Use-By" date is the last date recommended for the use of the product while at peak quality. It is not a safety date except when used on infant formula... Based on observation and interviews the allegation of staff served resident expired food is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted and a copy of this report was provided to Brigitta Lofvendahl, Executive Director.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC9099 (FAS) - (06/04)

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