complaint·June 20, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced for an initial 10-day visit. The LPA met with Executive Director Brian Larios and explained the reason for the visit. Today, the LPA conducted a tour at 10:20 a.m., observed lunch service from 12:00 p.m. – 12:40 p.m., interviewed staff at 9:15 a.m. and 11:32 a.m., and spoke with residents at 10:30 a.m., 10:43 a.m., 10:50 a.m., and 10:59 a.m., and throughout lunch service from 12:42 p.m. – 1:00 p.m. Regarding the above allegation, it was alleged that the flooring is uneven on the second and third floor. During the physical plant tour, the LPA observed several areas where there was a ‘hole’ or a noticeable dip in the flooring. Resident interviews confirmed that residents were worried about tripping and falling, as many residents ambulate with a walker or a wheelchair. Observations confirmed that the uneven surfaces pose a safety hazard to the residents. There is sufficient evidence to support the claim that the facility is in disrepair. This allegation is deemed Substantiated at this time. Pursuant to Title 22 Regulations, deficiencies were cited (refer to LIC 9099-D). Exit interview conducted, today's report and appeal rights were issued.