Complaint Investigation Report

157204045-5-13-2024-24-AS-SMOA-D59LLM-20240514085121

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/07/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240507124638

Facility staff are not properly addressing pest infestation in facility

On 05/13/24, Licensing Program Analysts (LPA) M. Yang arrived unannounced to deliver findings on the

above allegation. LPA introduced self, stated the purpose of the visit, and met with Licensee Marguerite Bruton.

During the course of the investigation, LPA conducted interview, tour the facility, and reviewed records. Licensee confirm there is bed bugs and no pest control service in place.

Based on observation, interview conducted, records review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to the Licensee, whose signature on this form confirms receipt of this report.