complaint·September 17, 2025

Regarding the allegation: Licensee does not ensure that facility elevator is maintained in good repair. It was alleged that the facility’s elevator has been broken. To investigate the allegation, LPA conducted an interview with the Administrator. Interview with the Administrator revealed that one (1) of the two (2) elevators is currently not working. The Administrator stated that the company working on the elevator have claimed it to be "Technical Issues”. They stated that they have been communicating with the company to see when they can return to fix elevator 1. When questioned by LPA how many residents on the second floor are non-ambulatory, The Administrator stated there are a total of seven (7) non-ambulatory residents. The Administrator stated, four (4) use wheelchairs but can walk and the other three (3) use walkers for assistance. LPA’s record review of Unusual Incident/Injury Report (SIR) revealed that the facility had self-reported the maintenance of elevator 1 along with the dates of services listed to Community Care Licensing Division (CCLD). LPA confirmed through record review the dates the elevator company was dispatched to the facility to work on elevator 1. During LPA’s physical plant tour, LPA observed elevator 1 to be off and not in working condition. However, LPA observed the second elevator (Elevator 2) to be working. LPA observed residents using elevator 2. Additionally, LPA used elevator 2 and observed the elevator to be working and in proper condition. Based on interviews, record review and observation, the facility has one of the two elevators working and have done their due diligence in requesting maintenance work on Elevator 1 to be fixed, therefore the allegation is UNSUBSTANTIATED at this time. No immediate health and safety issues observed during the day of the visit. Exit interview conducted and a copy of this report was provided to the Administrator. Let it be noted LPA Segovia had to email the report to the Administrator due to technical issues of LPA's printer. Regarding the allegation: Staff are not properly addressing pest infestation in the facility. It was alleged that the facility has not kept the facility free from pest. To investigate the allegation, LPA conducted an interview with the Administrator. Interview with the Administrator revealed that they have not had any concerns brought to their attention regarding bedbugs. They stated they have pest control services come out throughout the year to fumigate areas of the facility including residents’ rooms. Additionally, the Administrator revealed once a year, the entire facility is fumigated. LPA confirmed the facility’s fumigation services while conducting record review. However, during LPA’s physical plant tour, LPA toured a total of thirteen (13) random rooms located on both floors. During LPA’s tour, one (1) of the thirteen (13) rooms was observed to have what appeared to be a bedbug crawling on the mattress. LPA observed the Administrator to press down on the bug where red spillage (assumed to be blood) was then exposed from said bug. Based on LPA’s observation of the visible pest (bedbug) to be on the mattress, the allegation is Substantiated at this time. Citation issued, please refer to LIC 9099-D. Civil penalty assessed. No other immediate health and safety issues observed during the day of the visit. Exit interview conducted, appeal rights given and a copy of this report was provided to the Administrator. Let it be noted LPA Segovia had to email the report to the Administrator due to technical issues of LPA's printer.