Incident investigation·April 7, 2023

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management visit on 04/07/2023 at 1:38pm, regarding Special Incident Report (SIR) dated 04/05/23. LPA was greeted by Administrator Rosalie Sandoval and given a physical tour of facility. LPA received SIR dated 04/05/23 regarding an electrical fire that occurred in resident room 89B at approximately 9:40am. LPA observed room 89B to be under construction. Facility maintenance replaced 15Amp Receptacle and Single Gang PVC nail on outlet. LPA observed a 3x2ft rectangular hole in wall above outlet. Maintenance was in the process of replacing dry wall. LPA observed two nearby night stands that contained a white powdery substance, construction debris, and dust throughout room. Per Administrator Rosalie, “replacement of wall and cleaning of furniture will be completed by 04/11/23.” Administrator Rosalie Sandoval will provide LPA with copy of Pasadena Fire Department Fire Report. LPA was provided Police Report Number: PA2023-26819. Per Administrator Rosalie, residents in shared room 89B will regain full access to their accommodation once remodeling is completed.. Residents of 89B have been temporarily re-located to room 84. LPA received invoice of electrical work performed on 04/05/23. LPA conducted exit interview with Administrator Rosalie Sandoval.