Follow-up·July 12, 2024

At approximately 8:50 a.m. on 07/12/24, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with staff and later the Executive Director (ED) and disclosed the reason for the visit. Today’s case management visit is conducted in conjunction with Complaint # 31-AS-20240628155820. During the course of investigation, LPA interviewed several residents with facility concerns which were unrelated to the investigation. LPA interviewed Resident #1 (R1) at 9:00 a.m. today, Resident #2 (R2) at 9:10 a.m., Resident #3 (R3) at 9:30 a.m., Resident #4 (R4) at 9:45 a.m., Resident #5 (R5) at 10:00 a.m., Resident #6 (R6) at 10:05 a.m., Resident #7 (R7) at 10:20 a.m., Resident #8 (R8) at approximately 2:30 p.m., Resident #9 (R9) at 3:15 p.m., and the ED at 2:45 p.m. LPA conducted a records review of physician reports at 3:00 p.m. today. Interview with R1 revealed they had mold growing in their bathroom. LPA inspected R1’s room at approximately 10:45 a.m. and noticed a discoloration on the ceiling. Interview with the ED noted the facility was aware of the discoloration caused by a leak above the room and had taken action to fix the leak. Interview with R2 revealed R9 had been attacked approximately three (03) days prior by an unknown individual on the street. Interview with R9 revealed they were unharmed with no lasting injuries. The ED discussed the incident with LPA and provided an SOC341 form. Interview with R3 revealed they had been bitten by their roommate, R8 approximately two (02) days ago. R8 did not recall the event. The ED stated nothing had been reported to them, but they would investigate further. Interview with R4 revealed they were forced to sign a document. The ED noted R4 was requested to sign a document which stated they wished to leave the facility but never forced. Interview with R5 and R6 revealed they had an odor of mold or mildew in their bathroom from a leak. The ED stated the leak and the mold issue had already been resolved over one (01) week ago. During today's inspection, the facility was in compliance with Title 22 regulations. No deficiencies were observed, but LPA will return on a future date to further investigate the incident between R3 and R8 and the alleged mold in the bathrooms of R1, R6, and R7. Exit interview conducted. Copy of report provided.