complaint·June 2, 2022

Allegation: Facility ceiling is in disrepair The investigation revealed, per LPA interviews, with (6) staff members, (17) residents from the Carson Senior Assisted Living facility, and also review of facility documents, that the facility memory care dining room ceiling is in disrepair. S1 informed the LPA, that the facility has a maintenance and housekeeping staff that addresses any repairs needed in the facility. S1 also informed the LPA, that S3 addresses work order requests submitted by staff and residents for repairs to the facility. In addition, S1 is not aware of a facility ceiling in disrepair, and has not received reports from S3, staff or residents that the facility ceiling is in disrepair. S2 informed the LPA that S3 had reported to S2, that there was ceiling damage in the Memory Care Dining Room. In addition, S2 informed the LPA that the ceiling damage was in the process of repair, and would be completed immediately, S2 will send LPA pictures once repair has been completed. LPA interviewed S3, and was informed by S3, that S3 is in the process of repairing ceiling damage in the Memory Care Dining room, and had notified S2, two weeks ago of the ceiling damage, and also S3 was in the process of obtaining a contractor to work on the repair. S1 provided LPA with Work Order and Incident Report, both dated 5/19/22, regarding ceiling damage. In addition, S1, S2 and S3 informed the LPA that all facility curtains are replaced by the maintenance staff once there is a report that they are damaged. The LPA also interviewed (6) facility staff personnel, and 4 of the 6 staff personnel interviewed, informed the LPA that they are not aware of the facility ceiling in disrepair. In addition, 6 facility staff personnel interviewed, 6 of 6 staff members informed the LPA that they are not aware or have been informed that there are damaged curtains in the facility. In addition, the LPA interviewed (17) residents, and 15 of 17 residents interviewed, informed the LPA, that the facility does not have damaged ceilings. Also, the LPA interviewed 17 residents, and 15 of 17 residents interviewed, informed the LPA that the facility staff assist them with their care needs, and also, 15 of 17 residents interviewed, informed the LPA that staff are available to them when needed. Two of 17 residents interviewed, by the LPA did not answer LPA questions. LPA and S1 inspected the facility interior and perimeter grounds, and did not observe ripped or damaged curtains. On 6/2/22, at 10:30 am, LPA and S1 observed Memory Care Dining room ceiling, missing plaster, and partial open ceiling with wire meshing exposed. Based on information gathered, the LPA did find sufficient evidence to support allegation " Facility ceiling is in disrepair ” Report continued on LIC 9099C Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted with Ginger Enriquez, Assistant Administrator and a hard copy of the LIC 9099 and LIC 9099D was provided.