complaint·May 24, 2023

That same day, interviews with various staff members, starting at 09:52 a.m., confirmed R1 having bed bugs and confirmed R1’s refusal for all activities of daily living (ADL). Additionally, staff stated R1 expresses aggressive behaviors at anyone, fearing that R1 would be combative towards staff or other residents. Lastly, R1 has been on isolation protocol for bed bugs since discovering them on May 16 th . That same day, interview with R1, starting at 10:40 a.m., revealed that R1 has been refusing care due to a rent increase. R1 added they feel targeted because of the increase, but once that gets resolved, they will cooperate and have staff help them with showers and have housekeeping clean their room. During R1 interview, LPA Ascencio observed R1’s bed sheet, coffee table and floor covered in tiny, black pest. Interview with Interim Administrator Silva revealed that R1 moved into the facility about 6 months ago and has not had an increase in rent. Administrator Silva added that they moved R1 to a different room to clean the previous room they lived in. LPA Ascencio observed R1’s previous room and did not observe any pest in the room. Administrator Silva added that they will continue to spray the room and possibly have an entire cleaning of all rooms for any pest. Lastly, Administrator Silva added that R1 is a Regional Center client, which they pay for R1 board and care completely. LPA Ascencio advised Administrator Silva to continue to reach out to R1’ primary physician and to contact Los Angeles Public Health (LAPH) for guidance on bed bugs. Based on the information obtained there is sufficient evidence to support the allegation of facility has bed bugs. Therefore, the allegation is deemed Substantiated at this time. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D). Exit interview and report reviewed with the Administrator. A copy of the report and appeal rights were issued.