complaint·November 16, 2023

Continued from LIC9099... At 7:00:06 the incident was cancelled after they went to the enunciator and found a smoke B alarm, but no audible alarm, and it was confirmed on the main panel in the closet that all systems were normal. Two staff showed up stating that they were in the back of the residence and did not hear anything. LPA conducted 10-day complaint inspection on 10/27/23, LPA/Administrator toured the facility and observed two bottles of alcohol antiseptic 80% topical solution hand sanitizer on the shelf of unlocked closet located in the hallway accessible to dementia residents in care. The deficiency will be addressed in a case management. LPA conducted interviews with Licensee. Per Licensee: “the monitoring system alarm of the new building goes off and most of the times it’s a false alarm, we were so used to having different departments like the Fire Department, The City, The Bay City sprinkler company visiting and randomly coming so if in case they happen to come, we do not consider it as an emergency”. However, the issue has been reported to the sprinkler company that installed the alarm, who came to check and inspect them and there should not be any false alarms. Based on LPA’s confidential interviews conducted with staff, it was confirmed that they did not hear any loud or fire alarm sound that will make them think that there was an emergency with any resident in care nor that emergency personnel were on the premises knocking on the door. The preponderance of evidence standard has been met, therefore the above allegation of staff did not respond to emergency personnel in a timely manner in the event of an emergency is found to be SUBSTANTIATED. The Health and Safety Code cited on the attached LIC 9099D. Appeal Rights Given.