Complaint Investigation Report

On 11/15/2023, LPAs Marrufo and Partoza, inspected R1s bedroom located at the end of the hallway and observed that a mold black and gray in color, splotches and clusters of microscopic dots were present. The area was damp to the touch and has a faint musty odor. The affected area measures approximately 5 ft high x 3 ft wide on the right side of the closet wall. LPAs observed 12 to 13 brown boxes that measures approximately 2ft high x 3 ft wide by 2ft deep piled up that occupies two thirds of the closet space.

During inspection of R1s bedroom, LPAs observed two electrical outlets that were missing the cover plate . The first one was at the right side of the bedroom wall behind the bed with a fan plugged in. The 2nd electrical outlet was at the left side of the bedroom wall, behind the 2nd bed..

LPAs inspected bedroom 2 which was vacant at the time of the inspection. LPAs observed that bedroom 2 was free from clutter and maintained. LPAS inspected closet at bedroom 2, and observed 12 to 14 brown boxes that measures approximately 2ft high x 3 ft wide by 2ft deep piled up and linens were stored, the items occupied the entire closet.

LPAs inspected bedroom 1; bedroom 1 is shared by 2 residents herein referred to as R2 and R3. The bedroom was free from clutter and maintained. LPA inspected the closet, and observed R2 and R3s personal belongings are stored in the closet.

On 11/15/2023, LPAs interviewed 3 staff , here in referred to as S1 to S3. S1 stated that he/she is aware of the mold in R1's bedroom and stated that the bedroom that R1 was occupying has been vacant for months.. S2 stated that he/she was not aware of the mold and stated that the room has been vacant for a number of months. S2 stated the facility currently has 2 residents who share one bedroom. S3 stated that he/she was not aware of the mold in R1s bedroom because he/she does not go in the resident rooms. S1 to S3 stated that the facility has a maintenance person who handles the care and maintenance of the facility. S1 to S3 stated that the boxes inside the closet of bedroom 2 and bedroom 3 were supplies used by previous residents who have transferred or have left the facility.