complaint·December 14, 2021

Janitor stated that the batteries were recently replaced after realizing batteries were not working during a visit from the local ombudsman. Interviews with staff revealed 2 out of 5 staff interview stated that batteries do not work sometimes. 2 out of 5 have not notice if batteries are not working, and 1 out of 5 staff stated batteries always work. Interviews with residents revealed 2 out of 5 residents have noticed the alarms go off and 1 out of 5 residents stated to not have heard the alarms for the doors go off at any time. 2 out of 5 residents were unable to respond due to cognitive skills. Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found Substantiated. Regarding allegation: Facility has pest infestation. It is alleged facility has an infestation of mice/rats, and bed bugs. On 12/6/21 LPA Flores interviewed pest control expert at Dewey Pest Control who stated the facility has had continue services for pest control with their agency for many years. Around June facility had observed a few rats and inquired services. However, the expert does not consider rats/mice to be an infestation, as rodents reside in the neighborhood and facility has bite stations throughout. Regarding Bed bugs the facility is currently going under treatment and there is currently an infestation as live bed bugs were found in 9 rooms of the facility. LPA review pest control invoices for the month of November 2021. Interviews with staff revealed 3 out of staff have not observed rats/mice at the facility and 2 of the 3 have not observed bed bugs, however 1 out of the three has heard that there are bed bugs in rooms. 2 out of 5 staff stated to have observed rats inside and in the patio of the facility. Interviews with residents, 3 out of 5 residents stated to have not observed any pest at the facility. 1 out of 5 residents stated to have observed mice a while back. 1 out of 5 residents were not able to respond due to cognitive skills. Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found Substantiated. California Code of Regulations Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Immediate Civil Penalties have been assess for Repeat Violation within 12 months for $250. Exit interview was conducted with Virginia Garcia administrator and a copy of the report, LIC 9099D, and Appeal Rights was provided and leads to the facility's courtyard. Interview with administrator revealed the emergency exit door is under egress system however the batteries for the alarm were not working. The door at the bottom of the staircase of that emergency door is to be kept unlock as requested by fire department. Egress system is attached to a signal system in the front desk which alerts the staff at the front desk and staff notifies caregivers via radio. Interviews with staff revealed 4 out 5 stated residents are check every two hours, they respond to alarm at emergency doors right away, and 2 out of the 4 stated staff get notify via radio regarding residents observations on cameras. 1 out of 5 staff stated when alarms go off staff respond timely. Interviews with residents revealed 3 out of 5 residents stated staff check on them regularly throughout the day. 2 out of 5 residents were not able to respond due to cognitive skills. Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Regarding allegation: Facility is not reporting infestations to appropriate agencies. It is alleged facility did not reported rat/mice infestation to Community Care Licensing and/or Pasadena Public Health as facility did not consider it to be an issue. On 12/6/21 LPA Flores interviewed pest control expert at Dewey Pest Control who stated the facility has had continue services for pest control with their agency for many years. Around June facility had observed a few rats and inquired services. However, the expert does not consider rats/mice to be an infestation, as rodents reside in the neighborhood and facility has bite stations throughout. Regarding bed bugs on 12/3/21 service agreement was created to treat 9 rooms out of 94 LPA review pest control invoices for the month of November and December 2021 and emails send to Department of Public Health and Community Care Licensing representatives on 11/24/21 and 11/26/21 regarding pest control visit and treatment plan. Facility provided hard copy of incident report dated 11/16/21 during the initial visit however no transmission report was provided. Although the facility did not provided a hard copy of incident report to the department. There are email communication regarding bed bug findings and treatment. Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Exit interview was conducted with Virginia Garcia administrator and a copy of this report was provided.