Follow-up on corrections·July 2, 2024

At 12:00 p.m. on 07/02/2024, Licensing Program Analyst (LPA) Nicholas Reed and Los Angeles City Fire Inspector Linsay Pellegrini conducted an unannounced case management visit. LPA and Inspector met with the Executive Director (ED) and Maintenance Director (MD) and disclosed the reason for the visit. The reason for today’s case management visit comes from Inspector Pellegrini’s review of the facility’s fire safety compliance on 06/27/2024 in which multiple fire protection systems were deemed past due of their testing or retesting dates. Records reviewed indicated that the facility’s Stored Electrical Energy System and Automatic Closing Fire Assemblies failed tests in February 2024 and have not been retested since. Interview with the MD at approximately 12:20 p.m. today revealed the required corrections were made within a week, and the facility has been waiting for retesting appointments. Record review also revealed the rear elevator and emergency power generator were due for testing in January 2024. Interview with the ED at approximately 12:45 p.m. today confirmed that the facility was waiting on reinspection appointments. Also, the generator was working and the rear elevator contract had been created and is in process. The rear elevator repairs would take some time. At 12:30 p.m., LPA, Inspector, ED, and FM toured the facility inside and out to review known fire safety issues. All Stored Electrical Energy Systems appeared to be in working order. All but one (01) fire door was in working order. At approximately 1:50 p.m. the fire door near Room #105 was tested and observed to not close all the way. The MD made the necessary repairs to the fire door by 4:00 p.m. today. The inspector, MD, and ED all agreed that the main issue was a lack of communication due to an incorrect email address and lack of paperwork from the company in charge of retesting the facility’s fire protection systems. However, due to past due tests and retests of fire protection systems, the facility is in violation of Title 22, Division 6, Chapter 8, Article 04, Subsection 87203 Fire Safety. Therefore, a deficiency is issued and a $500 immediate civil penalty is assessed today for a violation of the facility's fire clearance. The ED was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f). Exit interview conducted. Appeal rights discussed. Civil penalty issued. Copy of report provided.