Facility Evaluation Report

Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to the facility to follow-up on an incident reported to the Department on 07/29/2022. LPA met with Manager Blanca Santamaria. LPA conducted an inspection of the facility, interviewed staff and residents and reviewed resident files during the visit.

On 7/29/22 the facility reported Resident 1 (R1) had ignited their mattress on fire that same morning, at approximately 10:30 am. Facility reported no one was injured in the fire and that the Fire Department was able to clear the area without further incident. Information gathered during the visit revealed R1 started the fire by igniting an aerosol can of disinfectant spray R1 had in their room. Per facility staff residents are not to have any chemicals in their room. LPA also learned that R1 was issued an eviction notice by the facility on 06/20/22, however the facility did not notify the Department of the eviction as required by Title 22.

Based on information obtained during the visit the facility is being issued a citation for failure to report the incident to the Department, for resident having access to chemicals and for the facility’s failure to report the eviction of a resident to the Department.

An exit interview was conducted and a copy of this report, along with LIC 809D and Appeal Rights were reviewed with and provided to Manager Blanca Santamaria.