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32 | Fire door is in disrepair/Sliding screen door in disrepair:
During the fire safety inspection that was held on or around 04/26/24,it was observed that all three (3) fire doors were wedged open, and one was not closing properly. Also, the screen doors on slider from the living room is broken and does not open well.
Passageway in resident bedroom not clear from obstruction:
During the fire safety inspection that was held on or around 04/26/24, it was observed that a hospital bed in room #3 was so far from the wall that the door would not close.
Fence to swimming pool is not secured:
During the fire safety inspection that was held on or around 04/26/24, it was observed that the pool fence was not only unlocked but also open.
Cleaning supplies inappropriately stored:
During the fire safety inspection that was held on or around 04/26/24, it was observed that there were cleaning rags leaning against the hot water heater which needs to be kept clear as there is a flame inside.
Construction or alteration in living room may lack permits:
During the fire safety inspection that was held on or around 04/26/24, it was observed that there is a small metal ramp going into the living room. Pursuant to title 22, section 87305, licensee will need to permit the ramp with Los Angeles Department of Building and Safety (LADBS), especially if residents need to access or utilize this room.
Based on the observations from the fire safety inspection that was held on or around 04/26/24, these allegations are Substantiated. Citations issued on the LIC 9099D. Immediate civil penalty of $500 assessed for fire safety violations. Administrator advised, copies of this report, civil penalty and appeal rights issued. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
05/09/2024
Section Cited
CCR
87203 | 1
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7 | Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: During the fire safety inspection that held on or around 04/26/24, it was observed that the | 1
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7 | During investigation on 05/09/24, chain was removed. Licensee in process changing door knob to single action. Order is in place. Delivery in progress. For the slider in back bedroom, bottom lock will be removed. |
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14 | front door had two (2) extra locks on it, the chain and the bolt. There was also an extra lock at the bottom of the slider in the very back bedroom (room #4). Both not allowed by the fire department These pose an immediate health and safety risk to the residents in care. | 8
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14 | As POC, licensee will take a photo of both, once single action door is installed and the lock in room #4 is removed, and submit to the licesing agency by 05/23/24. |
Type A
05/09/2024
Section Cited
CCR
87307(d)(6) | 1
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7 | Personal Accommodations and Services: All outdoor and indoor passageways and stairways shall be kept free of obstruction.
This requirement was not met as evidenced by: During the fire safety inspection that was held on or around 04/26/24, it was observed that a hospital bed in room #3 was so far | 1
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7 | During the investigation on 05/09/24, bed in room #3 was moved, and the door is able to open and close without obstruction. No further corrections required at this time. |
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14 | from the wall that the door would not close. This poses an immediate health and safety risk to the residents in care. | 8
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14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
05/09/2024
Section Cited
CCR
87307(e) | 1
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7 | Personal Accommodations and Services: Facilities providing services to residents shall assure the inaccessibility of swimming pools or similar bodies of water, when not in active use by residents. This requirement was not met as evidenced by: During the fire safety inspection that was held on or around | 1
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7 | During the investigation on 05/09/24,, LPA oberved the gates to be secured and locked. No further action required at this time. |
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14 | 04/26/24, it was observed that the pool fence was not only unlocked but also open. This poses an immediate health and safety risk to the residents in care. | 8
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Type A
05/09/2024
Section Cited
CCR
87309(a) | 1
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7 | Storage Space: Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients: This requirement was not met as evidenced by: During the fire safety inspection that was held on or around | 1
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7 | During investigation on 05/09/24, rags were removed and not seen leaning towards the water heater. In addition, LPA conducted a physical plant inspection to insure cleaning supplies are stored properly and inaccessilbe to the residents in care. No further corrections required at this time. |
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14 | 04/26/24, it was observed that there were cleaning rags leaning against the hot water heater which needs to be kept clear as there is a flame inside. This poses an immediate health and safety risk to the residents in care. | 8
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
05/23/2024
Section Cited
CCR
87305 | 1
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7 | Alterations to Existing Building or New Facilities: Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidenced by: During the fire safety inspection that was held on or around 04/26/24, it was observed that there is a | 1
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7 | As POC, licensee will obtain a permit from LADBS to allow for this ramp to be in use, if it will be in use by the residents. Copy of this permit will be submitted to the licensing agency by 05/23/24. |
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14 | small metal ramp going into the living room. The licensee will need to permit this ramp with Los Angeles Department of Building and Safety (LADBS). This may pose a potential health and safety risk to the residents in care. | 8
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Type B
05/23/2024
Section Cited
CCR
87303(a) | 1
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7 | Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: During the fire safety inspection that was held on or around 04/26/24,it was observed that all three (3) fire doors were wedged open, and one was | 1
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7 | Licensee is in the process of getting the fire door repaired. According to the administrator, it will take 2-3 days for electrician to complete this order. Regarding the screen door, it will be removed, as the dining room door is not used as an exit. |
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14 | not closing properly. Also, the screen doors on slider from the living room is broken and does not open well. This may pose a potential health and safety risk to the residents in care. | 8
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14 | As POC, licensee will submit photos and copies of the invoice as proof that the fire door is repaired. POC is due to the licensing agency by 05/23/24. |