complaint·April 10, 2025

Allegation: Inadequate emergency lighting in the hallway. During the complaint investigation, LPA conducted a facility tour with the maintenance director. During the tour, LPA discovered that the facility’s portable emergency lights were not functioning properly. When the emergency lighting was tested, the emergency lighting was non-operational and did not turn on. Based on observation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations, Title 22 on the attached 9099-D. Allegation: Plumbing issues throughout the facility. During this investigation, LPA toured the facility, and interviewed residents and staff. During the tour, LPA observed water damage on the walls and ceiling of the facility. Interviews revealed that the facility is having plumbing issues, and that the plumbing system is in need of repair. Based on observations and interviews, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations, Title 22 on the attached 9099-D. Allegation: Facility is not conducting quarterly fire/emergency drills as required. LPA conducted interviews and reviewed records. It was discovered that the facility’s last documented fire drill was conducted on 02/24/2025. Prior to this, the last fire drill was conducted on 04/20/2024. California Health and Safety code requires a fire drill to be conducted at least quarterly for each shift. Based on interviews and record review, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations, Title 22 on the attached 9099-D. Allegation: Residents reported that the construction has lasted over a year, with workers allegedly starting work before 7AM, playing loud music and smoking marijuana. During this investigation, LPA conducted interviews with residents. Consistent statements from residents revealed that the construction crew plays music, while repairing the facility, prior to 7:00 AM. Based on interviews conducted, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations, Title 22 on the attached 9099-D. Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the facility representative. Report signed on-site. Allegation: Delayed response to repairs in the building due to insufficient staffing. During this investigation, LPA toured the facility and interviewed residents and staff. Based on records provided, there is no evidence of insufficient staffing. Consistent statements during interviews revealed that residents were informed that the “building is very old, and it takes time to address any kind of repair”. Based on records review and interviews, this allegation is UNSUBSTANTIATED. 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. Allegation: Improper rate increase. During this investigation, LPA reviewed records and conducted interviews. LPA discovered through records review and interviews, that all residents receive a rate increase on their anniversary date of being admitted to the facility. Based on interviews and records review, this allegation is UNSUBSTANTIATED. 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. No deficiencies issued during this inspection. Exit interview conducted. A copy of this report was discussed and provided to the facility representative. Report signed on-site.