Complaint·February 9, 2023

The investigation revealed the following: Regarding allegation: Facility has bed bugs. It is alleged that rooms #200, 201, and 203 have bed bugs on their clothing, bedding and chairs. Interviews conducted with residents revealed 8 out of 10 residents stated to not have observed or experience bed bugs in their rooms. 2 out of 8 residents stated they did had bed bugs. Interviews with staff revealed 4 out of 7 staff interview stated they have not observed or heard of bed bugs at the facility and 3 out of 7 staff interview stated there were bed bugs at the facility and treatment was provided. During facility's tour on 5/5/22 LPA Flores observed bed bugs in the floor below the bed in room #200. Documents review revealed Ecolab Pest Elim, Div - Customer Service Report dated 3/3/22 identify bed bugs activity in room #328. Pest Control Service - Invoice(s) Customer Service Report for 4/26/22, 4/27/22, and 4/28/22 target pest bed bugs in room #200,201, and 202. Customer Service Report dated 5/5/22 noted bed bug infestation in room #329. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Tittle 22, Division 6 and Chapter 8 are being cited. Exit interview was conducted with Liyon O'quinn Administrator and a copy of this report, LIC 9099D, and appeal rights was provided. The investigation revealed the following: Regarding allegation: Facility is not clean and sanitary at all times. It is alleged that blood was left all over room #113 until housekeeping discovered it at 11am the next day after resident suffered a fall. Interviews with residents revealed 10 out of 10 residents revealed facility is clean and sanitary at all times and have not experience bodily fluids left on the floor for long periods of time. Interviews with staff revealed 7 out of 7 staff stated that upon request to clean out an area housekeepers ensure area is clean and bodily fluids are not left on the floor. Per Director of Health Services housekeepers have a bodily fluid accessible to any staff and it is used to remove bodily fluids immediately and housekeeping receives a notification to follow up with cleaning. During facility's tour on 5/5/22 and observations on 2/9/23 LPA Flores observed facility was clean, sanitary and free of bodily fluids. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be UNSUBSTANTIATED Regarding allegation: Resident rooms are malodorous. It is alleged resident's room had a pile of dirty diapers in room #123 for weeks and the room smells very bad. Interviews with residents revealed 10 out of 10 residents revealed facility is clean and sanitary at all times. Interviews with staff revealed 7 out of 7 staff stated that housekeepers ensure facility and rooms are clean. During facility's tour on 5/5/22 LPA Flores observed 22 resident rooms, rooms were clean, no odors were noticed, and piles of trash were not observed. On 2/9/23 LPA Flores observed facility's hallways, common areas, and resident rooms and room #123 were free of odors and trash. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be UNSUBSTANTIATED Regarding allegation: Facility is not meeting R4's dietary needs. It is alleged resident has been suffering from constipation for 2 weeks and the nurses will not give prune juice per resident's request. Interviews with 8 out of 10 residents revealed facility staff meet residents' dietary needs 2 out of 10 residents stated facility does not meet residents' dietary needs. Interviews with staff revealed 6 out of 7 staff stated facility follows dietary needs for residents and a dietitian provides services to the facility. 1 out of 7 staff stated not to be familiar with dietary needs. LPA Flores reviewed physician's report for R4 which does not note any dietary needs. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be UNSUBSTANTIATED Exit interview was conducted with Liyon O'quinn Administrator and a copy of this report was provided.