Facility Evaluation Report

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20201103132810. LPA met with Administrator (AD) Janette Hill and discussed the purpose of the inspection.

During the course of the investigation, LPA interviewed a witness who stated that Resident #1 (R1) complained to the facility that due to a broken window their room, they were not able to open or close the window when needed to regulate the temperature in their room and that the facility’s response was to screw the window permanently shut. LPA reviewed a photograph of the window showing a screw in place to prevent the window from opening. LPA interviewed AD who stated there were likely two windows at the time. LPA inspected R1’s former room and noted there are two windows and both windows currently function properly. LPA reviewed the facility’s emergency disaster exit plan which does not indicate that windows would be used in an emergency and also observed that R1’s room was close to the stairs and a small balcony that can be entered using a full-size door. It is unclear whether only one window or both were alleged to have been screwed shut and the information obtained does not corroborate that screwing one window shut would have negatively affected a fire evacuation. However, permanently closing the window interfered with R1’s comfort and enjoyment of their room.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.