The green and white pack and the blue lighter were visible in plain sight when inspectors entered the room of Resident 97 at around 8:10 in the morning.
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The citation fell under the environmental deficiencies category, tagged as F0908, covering the requirement that essential equipment function safely.
The violation, cited August 28, was one of 16 deficiencies inspectors documented during the visit.
No resident was documented as harmed.
The citation, issued August 25, 2025, fell under what regulators classify as a Quality of Life and Care deficiency.
It was one of 11 deficiencies cited against the facility during that single inspection.
Inspectors determined the facility had fallen short on that standard.
Inspectors classified the problem as a pattern, meaning it wasn't a single isolated lapse they found but something recurring across the kitchen's operations.
When error rates climb to five percent or higher, federal inspectors are required to cite the facility.
Inspectors determined that a small number of residents were affected.
The Director of Nursing acknowledged the problem directly.
The inspection at Antelope Valley Care Center, conducted August 29, was triggered by a complaint.