complaint·March 18, 2024

CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff did not ensure the back gate self-latches, the following has been concluded: Based on observation made during the tour of the physical plant, the facility's administrator was able to demonstrate on multiple occasions that the self-latching mechanism for the outside gate was operating properly. A spring ensures that the gate is pulled back close whenever it is opened and the latch engages adequately. Administrator indicated that the slab under the gate had recently shifted lightly but current operations do not appear to be affected. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Regarding the allegation that Facility is in disrepair, LPA was unable to identify any major items of maintenance appearing to be neglected in the facility's physical plant. There is an apparent sprinkler system installed but facility staff confirms that it is not operational at this time. An application might be submitted to the Fire Marshall in the future. Existing sprinkler heads do not show any signs of disrepair. There are loose wires on the right side of the house, however they are observed to be connected to a satellite dish that is not currently in use and do not represent a safety issue for the residents in care. Outlet covers are also verified to be present throughout the premises. The allegation is also found to be Unsubstantiated, meaning that although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation did or did not occur. An exit interview was conducted and a copy of this report was provided to a facility representative.