A 38-year-old man experiencing a mental health crisis was killed early Tuesday morning after an hours-long standoff that ended when he fired at police and began a shootout.

The Gabriel House assisted living facility did not perform fire drills or train workers in evacuation procedures and was also understaffed and poorly maintained, according to a current and former employee interviewed in the aftermath of the fatal fire there that killed nine residents.

River police say a 5-year-old child survived a fall out of a third-story window but apparently escaped serious injury.