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Inspection visit

complaint

CARLTON PLAZA OF SAN JOSELicense 435200727
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

The facts provided in the 30 day eviction notice for a resident is without foundation or merit: The allegation is that resident R1 denied the a ccusation specified on the 30 days eviction letter issued by the facility . Resident R1 was accused that on 4/18/2024, R1 made an inappropriate comment stating to push facility staff out of the window and pulled an Swiss knife out and pretended to stab facility staff. Resident R1 was accused on 5/7/2024, around 12:30PM, R1 lit something on fire in R1's bathroom, creating a large fire to set off the facility sprinkler system which resulted in serious water damage to the facility. The fire threatened the health and safety to the residents and staff at the facility. On 5/30/2024, LPA interviewed staff S1. S1 stated on 4/18/2024, he/she and staff S2 went to R1's room to fix R1's internet problem. S1 stated R1 stated “I wonder what would happen if you would fall from the window”. S1 stated R1 took out an Swiss army knife and took off the knife part of the Swiss army knife. LPA interviewed staff S2. S2 stated he/she went with S1 to fix R1's internet problem. S2 stated he/she heard R1 stated something about throwing something over the window. S2 stated R1 had a little knife, and then gestured his knife close to S1. S2 stated the knife was too close to S1. Based on the review of the incident report dated 5/9/2024, on 5/7/2024 around noon time, the facility fire alarm was activated. The fire panel indicated the source from room #337 of resident R1. Water was pouring out, flowing to the hallway. Fire fighters came in the facility and stated that it seems as if R1 was burning paper and got out of control and sprinkler was activated. Resident rooms next door as well as below on second floor and first floor were all affected as water leaked below. On 5/10/2024, LPA toured the facility. LPA observed R1's room #337 door frame in the bathroom and walls were black due to smoke. R1's apartments next door as well as below on 2nd and 1st floor were all affected as water leaked below and hallways. LPA toured the affected rooms 121B, 251, 334, 337 and 339. The rooms were used fans to dry out the water. Continue on LIC9099-C. Page 2 of 3. LPA interviewed Executive Director (ED). ED stated ED stated the facility took R1's lighters after the incident. On 5/20/24, the facility issued a 30 day eviction letter to R1 based on public safety concern of the incident occurred on 5/7/2024. On 5/30/2024, LPA interviewed staff S3 and S4. Both stated when they went to the third floor and entered R1's bedroom on 5/7/2024, they saw there was smoke in R1’s kitchen. LPA interviewed staff S5. S5 stated on 5/7/2024 he/she entered R1's room, and he/she did see some smoke and some char debris in the water. On 6/14/2024, LPA received an email from ED with a recording of voicemail that declaring no longer wants to pursue the complaint. On 6/27/2024, R1 moved out from the facility with R1's family member agreement. Based on the review of the fire fighter report dated 5/7/2024, the sprinkler was activated by room #337, and the water damage was observed to the rooms in the third floor, second floor and first floor. R1 did not comply with general policies of the facility that resident must not engage in conduct that poses a danger to self or others at the facility, must not be disruptive, must not create unsafe condition. The Department has investigated the above allegations. Based on the investigation, records reviewed, observation, and interviews conducted, the Department found that the above allegation is UNFOUNDED , meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. Exit interview conducted with Executive Director (ED). This report was provided to review and for signature. A copy of this report was provided to ED. Page 3 of 3.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the October 31, 2024 inspection of CARLTON PLAZA OF SAN JOSE?

This was a complaint inspection of CARLTON PLAZA OF SAN JOSE on October 31, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to CARLTON PLAZA OF SAN JOSE on October 31, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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