Complaint·September 20, 2021

Allegation: Facility has bed bugs It is alleged on Facility has bed bugs. On 09/20/2021 Responsible Party (RP) was informed by the VA Hospital that R1 had bed bugs bites and a rash and was treated medically. Reporting party states that social services for the VA was not informed by the facility prior to the medical report. On 09/20/2021 LPA Calderon interviewed S1 who confirmed R1 did in fact have bed bugs and contracted the beds from R2. On 09/20/2021 LPA Calderon interviewed S2-S4 who all confirm that R1-R2 had bed bugs. On 09/20/2021 LPA Calderon interviewed S2-S5 who can confirm beds in the past but no current issues. On 09/20/2021 reviewed facility paperwork and VA hospital paperwork which confirmed R1 had bed bugs. Allegation: Facility did not report an unusual incident It is alleged on facility did not report an unusual incident. On 09/20/2021 LPA Calderon interviewed reporting party who confirmed facility did not report the bed bugs to social services VA and have been informed of same in the past. On 09/20/2021 LPA Calderon interviewed S1 who confirmed they did not report the bed bugs to social services of DSS prior to the complaint being generated. On 09/20/2021 LPA Calderon interviewed S2-S4 who all confirm they did report the bed bugs to upper management and does not know if upper management reported the bugs to social services VA or DSS. Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. A exit interview was conducted with Licensee James Bender, and a hard copy was provided.