complaint·July 2, 2021

The investigation revealed the following: Black mold at the facility. It was alleged that there was black mold throughout the facility. During LPA Spencer's tour of the physical plant on 4/21/21 and 7/2/21, LPA did not observe any signs of black mold in the kitchen, dining rooms, common areas, bathrooms, or resident rooms. In interviews, all staff denied that the facility has been treated for black mold and have not observed any black mold at the facility. 8 out of 9 residents interviewed stated that they have never noticed black mold or heard of other residents complaining about black mold. Resident was injured while in care. It was alleged that a resident was injured by a fallen elevator ceiling that was damaged by an earthquake that occurred in 2019. During LPA Spencer's observation of the two facility elevators on 4/21/21 and 7/2/21, LPA did not observe any signs of damage to the elevators . During interviews, all staff denied the allegation that a resident was injured by the elevators. Staff stated that regular maintenance is conducted on elevators on a monthly basis. A review of elevator service invoices from 12/2019-6/2020 show that standard maintenance was completed on the elevators monthly. In interview with the elevator service repair company, W1 stated that only regular maintenance was completed and the system doesn't show that any ceiling damage was documented. 8 out of 9 residents interviewed stated that they had no knowledge of a resident being injured by the elevators. 7 out of 9 residents interviewed stated that elevators have been in good working order since they've lived there. Based upon physical plant observation, interviews conducted, and documents reviewed, the findings indicate although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are Unsubstantiated. An exit interview was conducted with assistant administrator and a copy of the report was provided.