Complaint·January 13, 2023

the ceiling and water leak happened around the time it rain, residents were unable to remember the day and stated the water dripped next to them and not in their beds or on them. Interviews with 2 out of 2 staff revealed the water damage around the facility was observed right after the rain by Monday 1/9/23. Administrator stated insurance company has been contacted and conducted an assessment of the damage and will take care of the repairs. LPA observed the following during the facility's tour RR2 has a hole in the ceiling of about 2x1 foot long in the center against the back wall of the room, a water repair was notice that has been previously repair to the right of the hole. RR9 and RR10 is a shared room, a hole in the ceiling of about 3x2 feet long was observed about 3 feet from the right corner wall and above the window where R2's bed is located. Wall in hallway to the left of French door leading outside was observed with paint wrinkle and peel of about 2x1 foot long of water damage, and ceiling in medication room was observed with a bubble of about 2x2 feet long right above where medication is stored. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Regarding allegation: Facility is malodorous. It is alleged bad smells are present in the facility. Interviews with residents revealed 2 out of 2 residents stated not to notice bad smells. Interviews with staff revealed 2 out of 2 staff stated there are no bad smells or mildew smell. During facility's tour LPA identify moldy smell upon entering the facility, by the office area, bowel movement smell coming from RR1 notice by the hallway and stronger once entering RR1, and in RR15 and RR16 shared room a distinctive bad smell. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Regarding allegation: Facility is unsanitary. It is alleged signs of mildew are present. Interviews with residents revealed 1 out of 2 residents has not observed mold or mildew at the facility. 1 out of 2 residents was unable to answer due to cognitive skills. 2 out of 2 staff have not observed mold or mildew in the facility. During facility's tour LPA observed mildew under resident's wardrobe next to resident's refrigerator in RR7. Floor in RR2 was observed with debris and overgrow dirt stains. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Tittle 22, Division 6 and Chapter 8 are being cited. Exit interview was conducted with Titiarish Fields Caregiver and a copy of this report, LIC 9099D, and appeal rights was provided.