Complaint Investigation Report

157208940-2-6-2025-24-AS-SMOA-DDSM8T-20250211082337

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

02/04/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250204104020

Administrator Paul Anderson and Director of Residential Services Shellie Whitlock

Licensee is not adequately addressing bed bug infestation at the facility.

Licensee is not ensuring that resident is provided with a safe environment while in care.

On 02/06/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock.

During the course of the investigation, LPA conducted interviews, received copies of records, and toured the facility in memory care unit. Based on interviews conducted and records reviewed, the facility immediately treated the bed bugs found in resident’s room and scheduled pest control service to treat bed bugs. There was insufficient evidence to prove or disprove that resident is not provided with a safe environment while in care. Therefore, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report.