complaint·July 10, 2023

(...Continued from LIC9099) Facility elevator does not meet backup power requirements. Based on a review of regulations, facility records, and interview of ED the facility elevator does meet the existing backup power requirements. Staff did not follow emergency procedures during a power outage. Based on interviews of R1, ED, HWD, S1, S3, and facility records, staff did follow emergency procedures during the power outage of 07/01/2023. Staff not trained on emergency procedures during a power outage. Based on interviews of ED, HWD, S1, S3, and facility records, staff was trained extensively on emergency procedures. Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report emailed to ED.