Complaint Investigation Report

It was alleged that some residential rooms have the top door closer of their entry door off. LPA interviewed Administrator and ED who stated that all resident apartments in assisted living (AL) and independent living (IL) have the same doors. ED stated that some residents have asked to loosen the door closer hinges or take them off because the door is heavy, but they are not allowed to since they are fire doors and need to automatically close. One (1) out of seven (7) staff confirmed that the maintenance team will sometimes loosen the door closer or disconnect them per resident request if their door is too heavy or they require ambulatory assistance devices, such as walkers or wheelchairs. Between 01:02PM-01:11PM, LPA observed three (3) doors in the IL building A on the third, fourth, and sixth floors. Two (2) out of three (3) doors observed did not have a functional door closer; one door closer was observed to not fully close the door at 01:06PM and the other door closer was observed disconnected at 01:11PM, resulting in the door staying open. Maintenance staff was immediately notified to repair the door closers, and staff will get trained to deny the request about removing or loosening door closers as they are required for fire safety. The two (2) door closers were repaired during LPA’s visit. Administrator stated that staff will audit all resident doors and repair any door closers as needed. Based on observation and interviews, the allegation “Staff does not ensure resident's door is in good repair” is deemed SUBSTANTIATED at this time.

The following deficiency was observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiency may result in civil penalties.

Exit interview conducted. Appeal rights and a copy of the report was provided.