Health check·June 9, 2021

Licensing Program Analyst(s) Mary Flores and Nina Galarza conducted a case management visit to follow up on incident report dated 6/4/21 which reported smoke on the facility. During the visit LPA(s) conducted a tour with Lydia Pabion administrator of the kitchen to ensure facility has sufficient food of 2 days of perishables and 7 days of non-perishables, toured room #121 were the smoke was reported. Room #121 was evacuated and resident #1(R1) who was staying in the room was moved to room 119 as the area is being repair. LPA(s) tour room #229 above room #121 to ensure there was no signs of fire in the room. Room #229 is kept as a storage room and 2 oxygen tanks were observed, administrator stated they were to be disposed but has not and will disposed of them on 6/9/21. Facility is to follow regulation 87618 to properly disposed of oxygen tanks. LPA(s) did not observed fire debris, smoke was still breathable in room #121. Debris outside the corner of the building was observed and a contractor was hired on 6/4/21 to begin repairs of concrete pull by fire department to find the source of smog. Fire department' report states "The source of the smoke was a smoldering structural member on the Alpha Delta corner. The smoldering fire was extinguished with a 2.5 gallon water extinguisher. After knockdown residents on the second floor were cleared to repopulate." Residents are at the facility, staff is providing care. LPA(s) were provided with a copy of the report. Deficiencies will be cited per Title 22 Division 6 Chapter 8 on LIC 809D. Exit interview was conducted with Lydia Pabion administrator and a copy of this report, LIC 809D, appeal rights were provided.