Complaint Investigation Report

On the allegation " Licensee did not provide the facility with an up to date and readily available emergency disaster plan"; it is the concern of the reporting party (RP) that the community had no evacuation plan, and that it was complete chaos during an evacuation. To investigate the allegation the LPA conducted file review and interviews. Information obtained revealed that on 01/09/2025 the community had to evacuate due to the Kenneth Fire. File review revealed that the community has an Emergency and Disaster Plan (LIC610E) on file. A review of the LIC610E indicated that the community had temporary shelter locations, evacuation procedures and staff assignments during an emergency disaster. File review also revealed that the community conducts monthly emergency and fire drills with their last drill conducted on 12/03/2024. Eleven (11) out of thirteen (13) randomly selected residents that were interviewed revealed that they had no concerns regarding the evacuation, it was well handled, they were well taken care of, the staff did the best they could, and that the staff were knowledgeable on the evacuation process. All staff interviewed revealed that the community trained them and has a third-party individual that comes and educates them on what to do during an emergency and/or disaster such as a fire. Additionally, staff interviewed that were present during the evacuation revealed that considering the emergency they were prepared to the best of their ability, the community was getting ready for an evacuation days prior, all residents had evacuation bags ready to go, and they ensured the safety of the residents. Based on the information gathered, the above allegation is deemed unsubstantiated at this time.

Exit interview conducted and report issued.