complaint·May 23, 2023

The Licensee met with a Certified Mold Remediation Consultant (CMC). LPA Jensen reviewed the CMC report which states the remediation estimate is based on a visual inspection and analysis of air samples collected and paid for by the client and that due to the nature of microscopic mold spores and the possibility of their elevated presence inside the property additional testing may be warranted or contamination can be assumed in any or all non-work areas on the property. Mold Abatement remediation has been performed in two of the 4 areas identified with moderate to high mold spore levels. Additional areas identified, including an 8X100X8 hallway area and a resident bedroom are currently pending mold abatement work to be completed. Based on LPA Jensen's visual inspection of the facility, observation of tarps on the ceiling and interviews conducted, the allegation of staff did not ensure the roof was fixed timely is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met. It should be noted that the facility was cited for the roof leaks as they were discovered during an annual inspection conducted on 5/4/23. The roof leaks that occurred in January were not reported to the Department. Based on a record review of the Mold Inspection Report and Microbial Investigation prepared by an environmental services company for the facility inspection completed 5/9/23, the allegation of staff did not ensure the facility was kept mold free is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met. On 5/10/23 LPA Jensen sent the Licensee a written request via email to provide the environmental services company consent, in writing, to disseminate information and provide all reports directly to the Department. As of 5/23/23 at the time of this visit, written consent had not been given. Deficiencies are being cited as a result of this complaint investigation and civil penalties are being assessed for repeat violations. An exit interview was conducted and a copy of this report and appeal rights were provided.