Complaint Investigation Report

detectors. LPA observed that upon testing smoke detector in room 4 no sound came from device. LPA asked S1 to remove smoke detector from ceiling, upon removal LPA observed smoke detector to not have any batteries and was not functioning. Upon further inspection of all smoke detectors LPA observed smoke detector in hallway to resident bedrooms to have no sound came from device. LPA had S1 remove smoke detector from ceiling, upon removal LPA observed smoke detector to have only 2 batteries out of 3 that are required in order to function. Interview with staff 1 of 2 revealed that S1 indicated he forgot to put batteries in smoke detectors. Upon inspections of facility bathrooms LPA observed bathroom in bedroom 4 to be properly functioning. However common bathroom of the facility was observed to have water tank lid open. LPA inspected toilet and flushed toilet; it was observed that the toilet flush valve was not working properly. Upon flushing of the toilet, it was observed that the flush valve has a vertical overflow tube that extends from the base of the flush valve up into the tank. The tube was observed to move upward upon flushing and does not move downwards without assistance which can causes the flow of water to not fill the water tank properly. Interview with S1 revealed that toilet for common bathroom has been this way for about a month.

During the course of the investigation, there was sufficient evidence to substantiate the allegation of that staff are no ensuring that smoke detectors are in working condition and staff are not ensuring that bathroom toilets are in working condition. The preponderance of evidence standard has been met; therefore, the above allegations are substantiated. See LIC9099-D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with Administrator and a copy of this LIC9099 report was left at facility. Appeal rights reviewed, and a copy provided.