Complaint Investigation Report

LPA observed that facility door #4 is equipped with delayed egress that is required for memory care unit, the door has an alarm with door sign stating “keep pushing door will open in 15 seconds alarm will sound” , this was observed with both doors number 4 & 5. Both doors are functional during the visit. LPA conducted interview with S4 & S3, according to S4 & S3, both doors #4 & #5 gets testing (delayed egress) every week as part of physical plant maintenance, a copy of maintenance check was obtained. S3 do not recall any malfunctions on both doors back in December 2020.

Based upon investigation, the above allegation is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of report was given.