Complaint Investigation Report

exit door to Resident Room #1.At the time Resident Room #1 had no residents currently occupying Resident Room #1. During that annual visit, on 11/18/2024 LPA verbally addressed the blocking of exits doors being a fire hazard (CCL 87203 State Fire Marshal, Chapter 10 CFC 1032.3 Required exits access, exits and exit discharges shall be continuously maintained and free of obstructions.[egress]) with the Licensee/Administrator, Angelita O. Maravillas, who acknowledge the fire hazard dangers, and moved items blocking Resident Room #1 exit doors. On 11/27/2024, W1 observed “numerous” items including, assistive medical devices/equipment, tray tables, large rolling garment racks, and stand-up assistance devices blocking sliding door exits. On 12/12/2024 at 7:45am LPA Jeffries conducted a facility tour observing Resident Rooms #2 with a Sara Steady lift partially blocking the exit door and Resident Room #4 with a chaise lounge couch partially blocking exit in room #4, LPA instructed Licensee/Administrator to permanently move both obstacles. At this time there is sufficient evidence to the allegation of, “Licensee does not ensure door exits in residents’ rooms are kept free of obstructions.” and is substantiated at this time.

Exit interview, report read, citation issued, appeal rights and report provided.