Complaint Investigation Report

At 10:20 a.m., the LPA observed a black-like substance on the vents near the dining room, adjacent to the kitchen. At 10:30 a.m., the LPA toured the basement level of the facility. The LPA identified what appeared to be mold in the staff conference room. The LPA toured the two (2) common restrooms on the basement level and observed a black-like substance, which appeared to be mold, in both restrooms. The LPA again toured conference room and the two (2) restrooms found in the basement area with the Maintenance Director at 11:05 a.m., whom confirmed that the panel in the staff conference room would need to be removed in order to properly treat the mold.

Based on the information obtained, there is sufficient evidence to support the claim that the facility failed to keep the facility free of mold. This allegation is deemed Substantiated at this time.

Pursuant to Title 22 Regulations, deficiencies were cited (refer to LIC 9099-D). Exit interview conducted, today's report and appeal rights were issued.