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13 | On Wednesday, May 14, 2024, at approximately 2:30 PM Licensing Program Analyst (LPA) Josiah Gathing met with Facility Representative Renee Perez, for the purpose of a complaint investigation and to deliver findings. It was alleged that licensee is operating in violation of the facility fire clearance. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations.
Staff stated in interview that the fire inspector instructed Director to remove curtains not treated for fire resistance. Fire inspector stated in interview that materials like curtains must be removed or treated for fire resistance. LPA determined in interview with fire inspector that the fire clearance for the facility was not revoked. Therefore, the facility is not operating in violation of fire clearance.
Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, they are unsubstantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days. |