complaint·August 15, 2025

Upon arrival, LPA observed that Los Angeles Department of Building and Safety (LADBS) had yellow tagged the rear bathroom in which the fire occurred and no residents were at the location. It was alleged that there were Fire Safety concerns as the facility was missing fire doors, hard wired smoke detectors, exit signs, and building permits, and the facility had dilapidated wood ramping and was in need of a new pool fence. The four (4) residents residing at the facility were non-ambulatory. At 03:35PM, LPA observed the pool to be fenced with metal wire fencing locked with a master lock. At 03:41PM, LPA observed the wood ramping in need of repairs as rails were not steady. At 03:56PM, LPA observed exit signs by the main entrance and the main exit to the backyard, but not at all exits. Signs were not illuminated. At 03:58PM, LPA observed that there were frames on the ceilings for hardwired smoke detectors, but none were installed. Several uninstalled smoke detectors were observed throughout the facility on tables. Licensee stated that the smoke detectors were removed during the fire. LPA did not observe fire doors. At 04:14PM, LPA observed that four (4) out of four (4) residents’ medications and personal belongings were still at the facility. Licensee and staff stated that all medications and belongings will be removed and transported with the residents when relocated from hospital discharge. Based on observation and interviews, the allegation “Facility in violation of Fire Safety” is deemed SUBSTANTIATED at this time. Licensee shared relocation plans with LPA in which Resident #1 (R1) and Resident #2 (R2) will be relocated to licensed facility #195850499. Licensee stated that Resident #3 (R3) and Resident #4 (R4) have been relocated to licensed facility #00929482. Licensee stated all responsible parties of residents have been notified and approve of relocation plans. Licensee was informed to submit an LIC200 facility application and an updated facility sketch to the WHN RO for a new fire clearance request. Licensee was also informed to contact the Building Mechanical Inspector from LADBS. The following deficiency was observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted. Appeal rights and a copy of the report was provided.