complaint·October 24, 2024

continued from 9099... Licensee explained she tried to get R1 up by herself, but she couldn’t because R1 is too heavy and so she gave him a pillow and blanket. Licensee explained to LPA that R1 did not have a skin tear or anything as a result of falling and the room was clean; no feces or urine present on the walls or in R1's room. Licensee said she then left R1's room to call caregiver (S3) to come and help her get R1 off of the floor. S3 was not present at the facility, S3 was in Windsor at the time of licensee's call. Licensee advised LPA that S3 arrived approximately 30 minutes later. After arriving, S3 helped R1 up from the floor and put R1 back in bed. So, based on interview with licensee, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Complaint alleges facility has bed bugs. Per LPA interview with licensee, licensee is aware of on-going bed bug issue at facility. LPA and licensee spoke to most recent pest exterminator (E3) via telephone. Per LPA and licensee interview with E3, the facility was recently treated on 10/4/24 for bed bugs found in rooms 7, 8, 9, and 10. Per E3, the treatments given were a pest spray and a steam treatment. LPA clarified if steam treatment was the same as heat treatment and exterminator said no, that the two are different treatments. E3 said heat treatment would probably be the next step, where the company would tarp the house and do an all encompassing heat treatment on the entire facility. E3 said however that heat treatment is not covered under the licensee's current warranty and that it would be an additional cost. E3 further explained that they are unsure of the next steps to take that would be best to solve the issue since it seems so pervasive. So, E3 gave LPA and licensee their managers' phone number to call and inquire. LPA and licensee called both managers' phone numbers but were unsuccessful in reaching either one. Subsequently, LPA toured the facility and obtained photographic evidence of bed bugs still present in facility. LPA found bed bugs in room 10B and outside of rooms 8,9, an 10 in the hallway under a table stand in a sticky box. Based on LPA observation and photographic evidence, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies cited on the attached LIC 9099D. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with licensee. Failure to correct the deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with licensee and a copy of this report was given. **Civil penalty assessed for repeat deficiency within 12 months.