complaint·April 21, 2023

Continued from 9099 On 02/02/2023, the bed of R1 did malfunction, due to rails impeding bed being lowered, which was documented. R1 was sent to the Emergency Department at hospital on 02/02/23 at 0200 to make sure no injuries were sustained. This was affirmed and R1 was returned to the facility, with no new injuries or fractures, from Emergency Department on 02/02/23 at 0610. Based on review of documentation, inspection of the facility, and interviews the allegation that the Facility does not provide a safe environment for residents in care is UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Complaint also alleges that millions of dollars of building construction are done on resident rooms all without permits; work not inspected from structural work in room (#) and electrical work done all without permits. LPA toured the facility and found the room in question, was having general maintenance being performed, but no walls being moved. Work was being completed by a licensed general contractor, with the State of California. Additional concern was regarding automatic fire doors, which were in place at the end of the hallways, and operational. Therefore, based on inspection, and interviews the allegation that the Facility does not provide a safe environment for residents in care is UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies found at the time of inspection. No citations issued.