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32 | (Continued from LIC9099 p.1)
A review of facility records revealed the the facility submitted an incident report for the incident in addition to notifying the Department via email within the required timeframe. Additional records revealed an email exchange between facility management and the elevator contractor regarding the repair services and materials. Additional records showed invoices from the restoration contractor detailing the projected remediation repairs to include wall masking, drywall repair, baseboard installation, cleaning, hallway door removal and reinstallation, moisture inspection, floor protection installation, and labor costs. The contractor paperwork noted that additional drying time was needed for certain parts of the flooring before the drying standard could be achieved. Documentation pertaining to the carpet cleanings was reviewed as well as communication between management and the elevator contractor to increase the closure time of the second elevator, which was completed.
During two unannounced facility visits LPA directly observed both elevators at the facility on 06/24/26 and 07/10/26. The main elevator was closed and taped off for safety during both visits, as it was still under repair. On 06/24/2026 LPA observed the stairwell next to the main elevator to have increased humidity with a temporary plastic cover over a hole in the wall, connected to the elevator. Due to the moisture, an odor was present in the stairwell, which staff informed was being corrected by the restoration company. On 07/10/2026 LPA observed four (4) restoration contractors repairing and painting the walls of the elevator vestibule, main hallway outside of the elevator, and mail room. LPA observed the stairwell next to the main elevator a second time. The wall had been repaired with plaster and only a slight chemical smell was present, evidencing that the carpet and walls had been treated to prevent mold. LPA observed the second elevator to be in service during both visits. On 07/10/2026 LPA observed the second elevator door to have a 9-second open time with working sensors that stopped the door upon sensing that an object was in the door frame. LPA additionally observed a freshly painted concrete entryway, corroborating management statements that a plan was in place for cosmetic upgrades around the facility. LPA observed a second floor outdoor walkway to have faded paint due to normal wear and tear. This area was the same color as the freshly painted entryway and was observed to have no tripping hazards or broken concrete.
LPA spoke to three residents during the facility visit. The residents acknowledged that the main elevator had been under repair and they had observed contractors working in the area. The residents informed that the facility had not delayed in repairing the elevator and floor issues, and have accommodated residents during this time as to not interrupt services. The residents confirmed that they had been able to utilize the secondary elevator and received complimentary tray service.
Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Daniel Slaughter, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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