complaint·February 14, 2023

been occurring and been silenced by staff prior to repairs being initiated. Inspectors noted that while the alarm system would operate, the system malfunction may not have operated as designed to alert outside responders. Inspectors found that the fire alarm system in the independent living building was off line due to system upgrades. Inspectors found that they had not been notified, plans and permits had not been approved by Metro Fire and that this constituted an immediate risk to resident safety. A fire watch was instituted and the upgrade is ongoing with the oversight of Metro fire. Repairs are due to be concluded 12/15/23. Follow- up inspections on 12/20/22 found MC system to be operating properly and on 1/4/23, IL repairs were still ongoing. Based on interviews conducted by the department and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted with the Administrator. A copy of this report and appeal rights were provided.