complaint·July 28, 2023

care of this person, but the family pays Licensee to house the tenant in the ADU. The private caregiver called and stated they were running late and our staff assisted the resident this morning. Additionally, moving forward, Administrator Illouz stated they will house the residents and tenants separately. Administrator understood that no care or supervision by the facility should be made available for this additional person if person is only a tenant. That same day, interviews with staff members confirmed that there is an additional person at the home that lives in the ADU. Most days, I1 stays in their room, other times, they come to the home and be part of our facility. Additionally, staff interviews confirmed I1 has a private 24hr caregiver that family is paying for. However, interviews also revealed that family pay for private caregivers at night only while facility staff conduct all activities of daily living (ADL) to the resident during day time hours. Although Administrator Illouz stated that I1 is a tenant in the ADU, Administrator Illouz admitted that I1 was in the facility and that the facility assisted I1 this morning due to the private caregiver being late. Furthermore, although some staff interviews indicated that staff dont assist with ADL's, additional staff interviews confirmed that I1 is being assisted with all ADL's by facility staff. The following deficiencies were observed (See LIC 9099-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. An Immediate Civil Penalty Assessment of $500.00 has been issued today 07/28/2023 for Fire Clearance. Civil penalties will be assessed against any facility that fails to take corrective action within described time periods. Exit interview conducted. A copy of the report and appeal rights were provided via email to Administrator. Lastly staff interviews stated they do not have a problem when showering residents, as they have to turn on the faucet before to warm up the water. Although, staff indicated that they have problems with hot water taking too long for it to come out, interviews indicated that they always have hot water available. Temperature readings of all faucets available at the home indicated that hot water is available and within normal range of 120 degree F. Thus, the allegation is deemed unsubstantiated. Regarding the facility has pest. On 07/28/2023, LPA Ascencio conducted a facility tour at 10:10 a.m. During the tour, the LPA observed various kitchen cabinets and storage areas that did not contain any evidence of pest. Interview with staff members stated that because of the summer time being hot, there are very few pest at night but are taken care of by Terminex Pest control company. Additionally, LPA Ascencio obtained a copy to the Terminex service logs that indicate they are coming every 3 months for servicing. Although Administrator Illouz and staff indicated that they have seen pest in the kitchen area, during facility tour, LPA did not observe any evidence or signs of pest. Thus, the allegation is deemed unsubstantiated at this time. LPA Ascencio spoke to Administrator Illouz regarding the hot water fluctuation and possible pest being observed. Administrator Illouz indicated clear understanding and stated Terminex will continue to fumigate and service the home, remodel the kitchen and update the water heater to mitigate hot water fluctuations. Exit interview conducted and a copy of the report was issued to Administrator.