Complaint·August 22, 2024

LPA did observe efforts by the facility to mitigate potential health and safety issues, such as the taping off of the area directly below the leak to prohibit accessibility, and sinage posted displaying "Caution-Wet Flooring". LPA did not observe open, or broken piping, nor did LPA observe buckets on the floor left to contain leaking water. During the interview with the Administrator, they stated the leak is a result of excessive water condensation dripping from HVAC pipe conduit. Administrator says this specific leak only occurs during the summer months when the cooling system is used at peak capacity. A document review of an email communication between the Administrator and the facility's contracted HVAC vendor (NCWS Mechanical Service) indicates the vendor was called out to the assess and provide recommended repairs to resolve the issue. During LPA interview with staff, (S1) They stated excess water is swept into a drain inlet located near the leak at least twice a day, and as needed. Based on LPA physical inspection, and interviews with Administrator, and Staff, LPA did not observe the facility to be in disrepair. Thus, this allegation is unsubstantiated. During LPA interview with the Administrator, they confirmed that annual First Aid training had not yet been completed for Staff, and that scheduling efforts were in progress. LPA interview with Staff (S2) also confirmed that training had not been completed. S2 provided a list of Staff with status of First Aid training as "pending", and an email communication with Vendor (ON SITE CPR) showing coordination of preliminary scheduling efforts.. Based on the information obtained, this allegation is deemed Substantiated. An Exit interiew was conducted, a copy of the report was provided, and Appeal Rights explained. Deficiency cited on LIC 9099 D.