Complaint Investigation Report
Through LPA observation, record review of a Facility Sketch, and the facility LIC 610 Emergency Disaster Plan documentation, LPA identified facility exit locations at the front entrance door of the facility, sliding glass door in the living room of the facility, and back door(s) out of the facility located in two (2) separate resident bedrooms. On 10/12/2023, LPA observed that the back door of a resident bedroom in the facility is an exit out of the facility that connects to the back/side of the facility or “back lot.” On 10/12/2023, interviews with residents indicated that that individuals would use a resident bedroom to enter and exit the facility from the “back lot” area of the facility. At least 1 Staff member interviewed by LPA indicated that the back entrance in R1’s room was the easiest way to enter and exit the facility from the outside area of the facility. The other resident bedroom backdoor that exits to the outside of the facility is located on the opposite side of the facility away from the “back lot” area and was not mentioned through interviews as having been used by individuals to enter and exit the facility.
According to California Code of Regulations Section 87307(a)(2)(C) Personal Accommodations and Services, living accommodations and grounds shall be related to the facility's function. The following provisions shall apply: Resident bedrooms shall be provided which meet, at a minimum, the following requirements: No bedroom of a resident shall be used as a passageway to another room, bath, or toilet. In this instance, a resident bedroom has a door remain unlocked because it is the only access into the facility from the “back lot” area of the facility, and multiple individuals use the resident bedroom as a passageway into and out of the facility.
Based on the information obtained, there was sufficient evidence to prove the allegation. Therefore, the allegation is deemed Substantiated at this time.
Exit interview conducted. A copy of the report was issued to the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction