complaint·November 18, 2025

LPA also interviewed three (3) staff beginning at approximately 11a.m. Additionally, records relevant to the investigation were reviewed at approximately 12 p.m. and copies were obtained. The Case was referred to Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Jasmine Thomas. On 11/06/2025, IB Investigator, Jasmine Thomas, conducted an unannounced site visit to this facility. Investigator conducted interview with R1 at approximately 11:51 a.m.; reviewed R1’s records and interviewed the ED at approximately 12:45 p.m. Following is a summary of the investigation findings: Regarding allegation “Staff do not prevent the residents from using illicit drugs”: Investigation into this allegation consisted of record review, resident and staff interviews conducted by LPA Chochian and IB Investigator Jasmine Thomas. All seven (7) residents interviewed denied allegation and reported that they have not observed any drug use at the facility, nor have they seen anyone drinking alcohol. Residents reported feeling safe at the facility. Staff interviews reflected that there have been incidents where residents were intoxicated, smoking in rooms and were using illicit drugs however, immediate action was taken, and residents were issued warnings. Administrator further stated that intoxication, smoking in bedrooms and the use of illicit drugs are prohibited in the facility and residents are issued written warnings and law enforcement is contacted, if needed. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violations did or did not occur, therefore the above allegation “Staff do not prevent the residents from using illicit drugs” is deemed Unsubstantiated at this time. Regarding allegation “Staff do not keep the facility free from bug infestation”, Investigation consisted of resident room checks, interviews with random residents and staff. One (1) out of seven (7) residents interviewed reported that they have bed bug activity in their room. R1 confirmed that their room was sprayed for bugs approximately one month ago, however the bug issue did not resolve. R1 confirmed that management agreed to have the room sprayed again. During the tour, both LPA and IB Investigator observed R1’s room to be unkempt. Interview with staff and pest control invoices observed R1’s room was sprayed a month ago for bed bug prevention and it was recently inspected by facility staff and pest control for any bed bug activity. No bed bug activity was found. (Continue to LIC9099c) R1 confirmed that facility provides cleaning services, however R1 prefers to clean their own room. Staff reported that R1 refuses cleaning service, however it was explained and agreed with R1 to have housekeeping staff assist with cleaning to prevent bug infestation in the room. Furthermore, records reviewed revealed that the facility is contracted for monthly general exterior/interior pest control for various bugs; bed bug treatment is provided on call bases. According to the Administrator, R1’s room was inspected by facility staff and pest control company, and no bed bug activity was found. The Administrator provided invoices from Hydrogen Pest Control for the month of October confirming general pest control treatment and bed bug inspection for R1’s room. Based on information gathered during the course of the investigation, the Department does not have sufficient evidence to support that the staff did not keep the facility free from bed bug infestation, therefore, the above allegation, “Staff do not keep the facility free from bug infestation” is deemed unsubstantiated at this time. It was further alleged that “Staff do not properly maintain a resident's sink”. Investigation consisted of resident room checks, interviews with random residents and staff. Interviews revealed that R1 did not report the sink issue to management and attempted to fix it on own; however, R1 was unsuccessful. R1 confirmed that when they finally reported the clogged sink to staff, it was fixed. Other random residents interviewed regarding maintenance and housekeeping expressed being satisfied with the services at this time. Based on information gathered during the course of the investigation, the Department does not have sufficient evidence to support the fact that staff did not properly maintain the residents’ sink, therefore, the above allegation is deemed unsubstantiated at this time. Exit interview conducted/No citations issued/A copy of report provided.