complaint·June 11, 2025

Regarding allegation “Facility has foul odor”, during investigation LPA Tirre toured facility and observed the following areas: lobby, restrooms, bistro, dining, laundry, salon, activities room, hallways and resident rooms on both first and second floors. LPA observed that facility lobby has a air purifier and rotating fans to help circulate air flow. LPA did not observe any foul odors in any of the mentioned areas. LPA toured hallway where Resident 1’s apartment is located. LPA observed that facility has a designated smoking area for residents located on second floor balcony area located outside above first floor courtyard. Designated smoking area is located on opposite side of building in relation to R1’s room. Per facility interviews, eleven out of eleven residents stated they have never witnessed foul odors in any areas of building. Interviews with staff revealed that seven of seven staff have not experienced lingering foul odors. Regarding allegation “Staff are not providing a reasonable level of personal privacy”, LPA observed during tour staff knocking on resident bedrooms before entering. Investigation interviews with residents revealed that eleven of eleven residents stated that staff value residents privacy while at facility. Interviews with staff stated that seven of seven staff members give residents privacy while in bedrooms. Staff interviews stated that if residents have to use bathroom or showers, staff members will exit during these times. Record review revealed that on 6/3/2025, a incident occurred where R1 had been taking a shower with bathroom door open causing steam to set off smoke detector inside facility apartment. Staff came to resident room to check on resident and see if situation was an emergency situation. Per record review Emergency drill reports state that staff “Need to calm residents and provide basic needs for evacuation and working with authorities” in the event of an emergency. Regarding allegation “Staff are not maintaining facility floors clean”, LPA toured facility and observed the floors and carpets in the lobby, resident hallways on both first & second floors to be clean, vacuumed and free of debris. LPA observed that hard wood floors located in dining and activities area are mopped after each meal and activity. LPA did not observe any floors that were uncleanly. Interviews with eleven of eleven residents and seven of seven staff all indicate that floors are well cleaned. All interviews conducted with staff and residents revealed that facility staff clean bedrooms once to twice a week, deep cleaning done once a month and common areas such as lobby, restrooms and kitchen are done daily. Based on observations, record reviews and interviews LPA Tirre is unable to corroborate allegations made that Staff do not provide quality meals to residents, facility has foul odor, staff are not providing a reasonable level of personal privacy and staff are not maintaining facility floors clean does not meet the preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Assistant Executive Director Monica Aguirre and Executive Director Melanie Washington. A copy of this report was provided during this visit.