complaint·December 11, 2023

(continued from 9099) LPA conducted a brief tour of the facility starting at 11:35 a.m. Administrator demonstrated the LAFD approved delayed egress doors at the rear of the facility and the audible alarms attached to the doors. There is a 15 second delay on all three doors and when the alarm was triggered other staff responded quickly. There is a section in the facility that is for staff only; it houses the entry to the commercial kitchen, utility closet, laundry, storage and administrative offices. The door to reach this area remains locked at all times for the safety of the residents. LPA and administrator discussed the newer glass door in the front which is installed in a glass partition wall that was added approximately 18 months ago. While this administrator was not working as the administrator of the facility at that time, it was his understanding permits were pulled and the addition of the wall and locked door was approved by LAFD and Community Care Licensing (CCL). However, during a recent annual inspection by the LAFD Inspector, the fire regulatory compliance of the door was questioned. The facility has been put on notice by LAFD that the door must have delayed egress and cannot remained locked while waiting for the repairs or replacement of the door. The administrator stated today, 12/11/2023, he called their fire protection company, GFP (Guard Fire Protection System, Inc. GFP installed the magnetic lock on the door which is part of their fire system. He will have them come to the facility on an emergency basis to release the magnet so the door can remain unlocked until the delayed egress system can be installed. During the time this door is unlocked, the reception desk will remain staffed 24 hours a day to ensure residents do not exit the building unassisted by staff or a responsible party. Based on the observations and interviews, the door in the lobby/reception area to exit the residents' dining room, was locked and did not have delayed egress. Therefore, the allegation the facility failed to conform with fire safety regulations is deemed SUBSTANTIATED at this time. Pursuant to Title 22 of the CA Code of Regulations (CCR), the following deficiencies were cited (please refer to LIC 9099-D). Exit interview was conducted with the Administrator and report and appeal rights were reviewed and issued.