Complaint Investigation Report

On 1/9/2025 when LPA interviewed the Licensee and they stated that there were staff on the day of the incident but that the staff did not acknowledge the Fire Department because they were "Busy" with other clients. Licensee states that they were called and notified by the fire department that the fire alarm was tripped and that they could not locate staff. Licensee also states that they(staff) did not evacuate and follow the disaster plan because they knew that the fire alarm going off was a false alarm because a visitor was vaping in the bathroom. Licensee acknowledges that the staff should have met with the fire department and states that staff had an in service about what to do next time. Residents were observed in the loby unsupervised the day of the incident needing assistance. Licensee states that the staff were nervous to speak with the fire department and that staff did not come to the loby. On 1/9/2025 LPA observed that they were no staff available at the front loby and LPA had to locate staff to get assistance upon arrival. Based on observation and interviews the allegations, " Facility staff did not respond to calls for assistance." and "Facility not adequately staffed to meet the residents needs" are substantiated

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted. Appeal Rights and a copy of this report provided.