Complaint·October 16, 2025

Investigation revealed the following: Allegation: Licensee does not ensure that facility elevator(s) are in good repair. Record review of elevator invoice (02/16/25) revealed that a portion of the deposit for a new elevator had already been paid. Record review of the application for elevator plan check and inspection was paid on 09/15/25. On 10/06/25, interview with Elevator Vendor (W2) indicated that the elevator was working in February 2025 but not properly. W2 indicated W2 would visit the facility to service the elevator whenever there was an issue. W2 indicated that the project started 1 – 2 months after the elevator invoice date. On 08/13/25, interview with the Administrator indicated that the elevator has been down for at least four weeks and W2 was waiting for a particular piece. W2 indicated that W2 anticipates the permit to be approved next week and the elevator to be completed in two months. Six out of six resident interviews (R1-R5, R7) indicated they take the stairs and are still able to receive services. Regarding the allegation, “Licensee does not ensure that facility elevator are in good repair,” based on record review and interviews, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Judith Muro over the phone and a copy of this report was provided to Office Staff Maggie Romero.