complaint·May 22, 2024

To investigate this allegation on 08/16/2023 random resident rooms (#5, 6, 22, 23, 37) were toured. In addition, staff and random residents were interviewed. Staff reported that bed bugs are an ongoing issue at the facility due to residents bringing it in and refusing to shower or maintain room cleanliness. Staff reported that they do regular room checks and if any bed bug activity is noticed or reported by any resident the resident is moved to another room and the room is treated. Six out of six residents interviewed reported having bed bug activity in their room. It was confirmed through interviews with staff and previous administrator that resident rooms identified with bed bug activity were cleared and clients’ belongings were taken out and left in the open parking lot. Ms. Sapugay stated this action was taken to mitigate the bed bug issue identified in specific client rooms. Discussion was held with Ms. Sapugay regarding allegations, and Ms. Sapugay acknowledged that the action taken to eradicate the facility bed bug issue was not handled appropriate at the time. Based on the information gathered allegations “Facility has bed bugs and Facility is not safeguarding residents’ belongings’” is deemed SUBSTANTIATED. 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. Clients reported that staff assist with medication, showers and clean their room when needed. No issues were reported. One client expressed that they are responsible for self and do not need staff to assist with care needs. Client expressed that if needed staff assist with daily activities. Client expressed they do not like to be bothered therefore refuse at times to be showered and have room cleaned. Client reported that staff do come by and offer to assist with shower and clean room however most of the time client refuses. Staff interviewed reported that most of the clients cooperate with care services being provided. According to staff if client refuses any services, it is document. Regarding client #1 staff reported that it is a great challenge getting client #1 to shower and having room cleaned. Staff reported that client #1 is very combative therefore staff are afraid to approach client #1. According to staff they have identified that client #1 will only allow specific staff to assist with care needs and cleaning. Therefore client #1 did recently agree to shower and have room clean. During initial visit LPA observed staff interact with client #1 and client agreed to have room cleaned. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Facility is not meeting client’s needs” is deemed unsubstantiated at this time. Exit interview held. Copy of report provided.