Follow-up on corrections·August 8, 2025

At 10:00am on 08/08/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct a case management visit pertaining a follow up visit from the Case Management visit on 07/17/2025. from a Tri Counties Regional Center (TCRC) facility visit on 07/01/2025, where a rodent was observed and photographed in the facility kitchen. LPA announced who they are and the reason for the visit. LPA to ascertain if the facility followed the plan of corrections from the deficiency dated 07/18/2025, extermination of rodents. On 08/04/2025, LPA and Tri Counties Regional Center (TCRC), Adela Cortinas (QA), conducted a case management visit to ascertain two violations issued on 07/18/2025. The type B violation of eliminating “ammonia” odor was cleared, however the Administrator had not been successful in employing appropriate rodent abetment contractor. On the case management visit of 08/04/2025, the Administrator stated that they had employed a general contractor, who cleaned out "area with liquid cleaner, wet/dry vacuumed areas, bought and placed traps and cleaned out attic and set traps. During the case management visit QA and LPA saw more than two different rodents on the floor in the kitchen area. On 07/14/2025 LPA sent email to Administrator with contact information of 4 approved rodent abetment contractors that serviced the area of this facility. On 07/22/2025 LPA sent an email for Administrator to have Structural Pest Control Board (SPCB) certification to conduct pest control abatement. On the case management visit on 08/04/2025, Administrator stated that they had difficulty with one of the contractors on the list provided by LPA. On the case management visit of 08/04/2025, due to the difficulty administrator stated having with the rodent abatement contractor that was called from the list LPA provided, LPA provided an extension. Administrator agreed to call the appropriate pest control abatement service in the next 24 hours (08/04/2028) and schedule the next available appointment. CONTINUED on LIC809-C On 08/04/2025, LPA emailed 4 additional contractors that were qualified to conduct rodent abetment in the area of the facility, LPA followed up with a call letting Administrator know of the email was in their email in box with 4 new rodent abatement contractors. Administrator returned response email with the following: “Thanks Mark. So currently I’ve been in contact once again with Justin Clegg dba “ Justin-n-Time” who will come with appropriate documents to satisfy CCL. And meanwhile I will keep working on house as usual. Susan Marsh Sent from my iPhone” On 08/07/2025, LPA contacted Justin Clegg of Just-n-time concrete, who stated that they have not received any calls for rodent abatement and have nothing scheduled for rodent abatement. Mr. Clegg further explained that they are a concrete contractor and don’t do rodent abatement unless it is specifically for concrete work. Based on the information the Administrator has not followed the Plan of Correction for the Type A citation that was written on 07/17/2025. At this time a civil penalty will be assessed for repeat violation, due to the eminent danger, the present of rodents’in place on residents in care. The plan of corrections still remains as a priority for the Administrator to employ the proper contractor to conduct rodent abatement services at the facility until there is formal verification by the abatement company that the rodent infestation has been eliminated by showing monthly invoices of rodent abatement services. Exit interview, report read, civil penalty issued, appeal rights and report provided.