complaint·July 10, 2025

The investigation revealed the following: Allegation: Facility elevators are in disrepair. It is alleged that the facility elevators was in despair and residents are unable to use facility elevators. On 07/10/2025, between the hours of 2:50pm - 2:51pm, LPA interviewed A1 who denied the allegation and stated that on 07/01/2025, the elevator company was notified immediately once the facility discovered that the elevators were not working. A1 stated the former Administrator notified the Department about the small passenger elevator no longer moving on both floors and the elevator company came out to the facility to fix the elevator. A1 also mentioned that the former Administrator come into the facility at approximately 5am on 07/01/2025 to assist staff with serving breakfast to the residents. The staff used the stairs to get to and from each floor to attend to the residents as needed. On 07/10/2025, between 2:11pm - 2:51pm , LPA interviewed 6 staff: 6 out of 6 denied the allegation. 3 of the 6 staff stated that the elevator was repaired the same day on on 07/10/2025 and 5 out the 6 staff confirmed that the residents and the families of the resident were notified. On 07/10/2025, between 2:05pm - 2:44pm, LPA interviewed 7 residents: 2 out of 7 denied the allegation and 5 out of 7 were unaware of the allegation. The residents stated they and their families were informed about the elevator not working on 07/01/2025, while other residents had no idea, couldn't answer and or were not affected because they don't leave the floor were they resided so therefore they don't use the elevator. On 07/01/2025, LPAs Brown & Inguiez conducted a health and safety visit and observed on the elevator was repaired at approximately around 1pm. LPAs used the facility elevator conducted interviews with the staff and the residents. On 07/01/2025, LPA conducted a records review and observed the following: the Department received the LIC 624: Unusual Incident/Injury Report via fax which stated the small passenger elevator was no longer moving on both floors. Report continues on LIC 9099-C. Based on the information gathered, interviews, and record reviews, there is not enough evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED. No deficiencies were cited for the allegations above. An exit interview was conducted, and a copy of this report was provided to Robert Jakini (Executive Director).