Complaint Investigation Report

Three (3) out of four (4) residents interviewed stated could not corroborate the allegation. One resident declined to be interviewed. Two (2) out of three (3) staff interviewed denied the allegation. Administrator explained there was no uncleared or undocumented adults working in the facility but there was one unassociated staff. Per record review, Staff#2, who is cleared, but has not been associated with the facility is working there. Therefore, the investigation revealed that facility had an un-associated staff working in the facility.

In regard of the allegation, “staff are not ensuring that facility is free from pests,” it was alleged facility had cockroaches. Two (2) out of three (3) residents interviewed revealed they saw live cockroaches in their room in the facility. All three (3) staff interviewed stated the facility had cockroaches. Per facility tour, LPA observed live cockroaches in the kitchen and dead cockroaches in residents’ rooms. Administrator explained facility had pest control services for cockroaches on 4/14/23 and additional pest control services were scheduled until pest issue cleared. Therefore, the facility has pests’ issue.

Based on review of documents and interviews conducted, the preponderance of evidence standard has been met, therefore the above two allegations are found to be SUBSTANTIATED.

Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 1. See LIC 9099D. An immediate civil penalty was cited for having un-associated staff working in the facility.

An exit interview was conducted with Administrator. A hard copy of the report and appeal rights were provided.