complaint·August 10, 2023

(continued from 9099) The most recent emergency procedure drill was conducted on 7/11/2023 when the facility's smoke alarm was triggered due to a resident burning something in their microwave. The administrator stated she looked at the fire panel and saw that smoke was detected so she went through with a full evacuation of the facility because at the moment she did not know what was causing the smoke. Memory care residents were evacuated to the patio area where staff made sure they stayed in the shade and stayed hydrated. All assisted living residents were evacuated to the front of the building and were kept in the shade and hydrated. Many of the residents were already downstairs but those who needed to evacuate from the second and third floor used the stairs. There was one resident on the second floor who was not able to evacuate down the stairs and staff were not confident in how to use the evacuation chair in the stairwell. The administrator stated the resident was kept at the top of the lobby stairs with a staff member. In the event of an actual emergency the fire department personnel would have immediate access to the resident so they could assist the resident in evacuating. LPA reviewed the facility's Emergency Action Plan and found it to be very comprehensive, however the facility needs to update emergency contact numbers for facility personnel and they need to post the information in the facility as well as provide an updated copy to Licensing. Allegation: Facility does not have an adequate Emergency Disaster Plan. LPA reviewed records and found that while the facility has a comprehensive Emergency Action Plan they have not updated/posted the personnel names and their emergency phone numbers since 2018. There have been several staffing changes since then and the emergency staff contacts are outdated. Therefore, this allegation is deemed Substantiated at this time. Allegation: Staff are not adequately trained in the event of an emergency. The administrator stated that facility staff require training on use of the evacuation chair in the stairwell. The fire department gave the administrator a number to call to set up the training with them. This allegation is deemed Substantiated at this time. The following deficiencies were observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided via email.