complaint·August 13, 2025

Allegation #2: Staff were unable to effectively communicate during an emergency due to a language barrier. To investigate this allegation, on 08/13/2025, from 8:30 a.m. to 1:30 p.m., (LPA) conducted interviews with the Administrator, staff, (3) out of (6) residents, and a witness regarding the concern. According to information obtained, the facility’s location recently experienced an emergency evacuation situation due to nearby fires. During this event, Licensing and other government agencies attempted to contact the facility to determine whether an evacuation was required; however, staff were unable to communicate effectively in English. Interviews conducted during today’s visit further confirmed that communication with staff was unsuccessful due to their limited English proficiency. This inability to communicate during emergencies poses a potential health and safety risk to residents in care. Based on the information interviews, the allegation is Substantiated at this time. Citations issued, appeal rights, exit interview conducted and copy of report provided to Administrator. While communication challenges were noted, there was no evidence indicating that the facility lacked coverage by a qualified designated substitute. Based on observations and interviews, this allegation is Unsubstantiated at this time. Exit interview conducted and copy of report provided to Administrator.