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32 | The allegations of “Licensee housed residents in the garage”, “Licensee abandoned resident”, and “Licensee did not provide adequate care and supervision, resulting in resident hospitalization” allege that the facility had illegally housed Individual #1 (I1) in the garage between May 2025-June 2026, that I1 had suffered a fall at the facility suffering a head injury, and that as a result of the injury facility staff abandoned I1 at an unlicensed location. LPA conducted a file review and observed the facility’s fire clearance to contain a comment which states, “Garage to be maintained as a garage only.” During the pre-licensing inspection which occurred on 11/03/2025 LPA conducted a physical plant tour and observed that the lot that the facility is on is split in half, North to South, by a fence with a gate. LPA observed the garage to be located on the back half of the property separated by the fence from the facility which is placed on the front half of the property. Although the facility sketch submitted with the application included the garage. LPA toured the garage and observed items including a bed and refrigerator which appeared to suggest that the garage was being utilized as a living area at the time of inspection. During the 11/03/2025 pre-licensing inspection LPA had a conversation with the Administrator and Applicant informing them of the facility’s fire clearance which stated that the garage was to be maintained as a garage. The Administrator and Applicant expressed understanding at the time and agreed to comply with the requirement. Records reflect the licensee is not the property owner.
During the 06/18/2026 physical plant tour LPA observed ongoing construction taking place on the back half of the property. During the 06/18/2026 tour LPA did not observe signs which indicated that the garage was being inhabited. LPA interviewed the Administrator who denied having knowledge of I1 living in the garage on the property. The Administrator stated that after the pre-licensing inspection the facility did not have access to the back half of the property including the garage. The Administrator denied ever observing individuals accessing the back half of the property via the fence gate. The Administrator stated that on 01/30/2026 the property owner, hereby referred to as Witness #1 (W1), applied for a permit to split the property along the North to South fence line and to construct an ADU on the back half of the property. The Administrator stated that they were informed by W1 that the garage was being utilized to store items that were left over from when the facility was being operated as an Independent Living home prior to the licensure of the facility. The Administrator stated that they knew I1 had lived at the home while it was being operated as an Independent Living home but have never interacted with I1.
CONTINUED ON LIC 9099C. |