complaint·July 7, 2025

It was discovered that the infested bedroom had not been included in the facility’s routine pest control services. The maintenance director added the room to the pest control list at the time of the inspection. Staff interviews revealed that photos of additional bugs had been submitted to management earlier, but no action was taken at that time. Additionally, a review of pest control invoices from October 2024 through March 2025 showed that services were limited to a single bedroom and focused solely on treating for German roaches. No pest control treatments or follow-up inspections were conducted in adjacent rooms during that period. Based on the information gathered, the licensee did not ensure that the facility adequately treated for pests. Allegation: Staff did not ensure resident was provided with bathing services It was alleged that facility staff failed to ensure the resident (R1) received appropriate bathing services. During the investigation, the Licensing Program Analyst (LPA) conducted staff interviews and reviewed facility records. Staff initially reported that R1 had stopped taking showers. The facility stated they had agreed with R1’s responsible party to continue offering showers in an effort to assist R1, prior to formally updating the care plan. Staff claimed that attempts were made to offer showers, but that R1 continued to refuse them. However, a review of R1’s shower logs revealed no documentation indicating that showers were offered or refused. When questioned further, staff acknowledged that showers had not actually been offered to R1, despite previous claims. Based on the evidence obtained, it was determined that staff did not ensure that R1 was provided with bathing services, as required. Allegation: Staff did not ensure residents room was kept in clean sanitary conditions It was alleged that staff did not ensure residents room was kept in clean sanitary conditions. During the investigation, LPA conducted observations to assist with this allegations. Based on observations made it was found during a facility visit on 03/27/2025 by LPAs Viarella and Hayes it was observed that there was pet feces and bugs all throughout the room. In addition, items were asked to be moved to inspect other items of the rooms because there was limited space to move through all the items places throughout the room. It was also observed that the sofa against the wall had bugs, boxes, and other items such as wrappers and bags stored behind it. During this visit, LPAs had to ask maintenance to help assist move the items to inspect throughout the room and behind the sofa. Based on the information gathered, the staff did not ensure residents room was kept in sanitary conditions. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. An Exit Interview was conducted and a copy of this report and appeals rights was provided to the facility at the end of this visit. Allegation: Personal rights violation. It was alleged that the facility had a personal rights violation. During the investigation and interview with 5 residents and 5 staff members were conducted. 5 out 5 residents report no issues with the staff or the facility at this time. 5 out 5 staff members deny that they violate any resident rights and are aware of their rights at the facility. Based on this information, there is not sufficient evidence to prove that the facility violated the rights of a resident. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.