Complaint·November 7, 2025

On 08/21/2025 LPA interviewed ADM. ADM stated it was brought to his/her attention by W1 that R1 had ants in his/her room and on his/her body on 8/11/2025. ADM stated ants come into the facility during the summer months. ADM stated he/she had purchased ant sprays to get rid of the ants inside the facility, but “the ants just keep coming.” ADM stated there were no work orders for pest control, instead bug sprays and pesticides (for outdoors) were being used on the ants. ADM stated he/she offered to move R1 into another room, but there were ants in the room and W1 declined to move R1 . On 8/21/2025 and 10/8/2025 LPA interviewed 5 Staff (S1 to S5). 5 out of 5 staff stated he/she is aware of the facility having ants. S1 states it was brought to his/her attention on 8/11/2025 by W1 and W2 that R1 had ants in his/her room and on his/her body. S1 states he/she notified the facility ADM about the ants in R1’s room and on R1’s body on 8/11/2025. LPA interviewed 3 Residents (R1 to R3). 2 Out of 3 residents stated he/she has observed ants in his/her room but did not remember the date of these incidents. R1 did not respond to questions due to neurocognitive disorder. LPA toured 7 resident rooms. In 3 Out of 7 resident bedrooms, LPA observed ant traps in the corners of the room, dead ants along the bedroom floorboard corners, ants crawling on the floor, ants on a windowsill, and ants crawling on the wall. On 10/8/2025 LPA interviewed 2 Witnesses (W1 and W2). W1 stated on 8/11/2025 he/she visited R1 at approximately 9AM, and observed ants on R1’s pillow. W1 stated he/she observed ‘ants on the floor, crawling up R1’s bed and on R1’s beddings (blankets, sheets, pillow) and in R1’s hair’. W1 stated he/she also observed ants in R1’s diaper area. W1 stated R1 was non-verbal and cannot communicate his/her needs. W1 stated he/she told S1 about the ants on 8/11/2025. W1 stated he/she also spoke with S3 about the ants, and S3 told the ADM. W1 stated he/she was contacted by the ADM at approximately 4PM, where ADM offered to move R1 into another room. W1 stated that the room offered to R1 also had ants, and he/she declined to move R1 to the other room. Page 2 of 3 LPA interviewed W2. W2 stated on 8/11/2025 at approximately 10AM, he/she arrived at the facility and W1 spoke with him/her about the ants in R1’s room. W2 stated he/she observed ants on R1’s bed (headboard, footboard), and around R1’s floorboards of the room. W2 stated during a diaper change of R1, both he/she and W1 observed ants in R1’s brief. W2 stated he/she informed S2 about the incident. Based on review of R1’s physician’s report dated 3/10/2025, R1 has neurocognitive disorder, and is unable to communicate his/her needs, as listed under Physical Health Status ‘i. Able to Communicate Needs-No.’ Based on review of R1’s Appraisal/Needs and Services Plan dated 6/30/2025, staff are to assist daily with R1’s Socialization Needs, Emotional Needs, Mental Needs, Physical/Mental Health Needs, and Functioning Skills Needs. Review of R1’s Preplacement Appraisal Information dated 4/1/2025, R1’s Communication is listed as “having severe speech impairment…uses non-verbal communication…has few words…can answer yes or no.” Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is/are found to be substantiated . California Code of Regulations Title 22, are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided. Page 3 of 3 END OF REPORT