Complaint·March 11, 2025

According to the previous Administrator and the Resident Service Director, one of the elevators has been broken for more than a year and it was repaired but continued to break. The former Administrator denied the allegation that the paramedics were waiting for 25 minutes while responding to an emergency call and stated that if both elevators were down, the staff would direct the paramedics to use the stairs. The Resident Service Director stated that there was one time when both elevators were down, and the paramedics had to transport a resident to the room using the stairs. The former Administrator and the Resident Service Director stated that the most recent visit from an elevator company informed them that the elevator needed to be replaced and the Senior Vice President has already approved it. LPA interviewed staff #1 (S1) and staff #2 (S2) and both stated that one of the elevators has been broken for almost a year. They stated that the only working elevator would be down from time to time due to over usage. They stated that they were informed by other staff members that during Christmas Eve, the only working elevator was also down and residents, family members, and paramedics had to wait for a long time. After the investigation, this allegation is deemed to be substantiated as the former administrator, the resident service director, and the facility staff reported that the elevator has been malfunctioned for over a year and the facility was not able to provide documents to proof that repairs were in progress. In addition, facility staff reported that when the only working elevator became malfunctioned, it created a big problem for the residents, facility staff, family members, medical visitors, etc. Based on interviews, observation, and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation was determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the interim Administrator; a copy is provided with Appeal Rights provided