Complaint Investigation Report

In regard to the allegation” Facility staff did not ensure that facility is free of pests.”, It is alleged that R1 had a bed bug infestation due to staff replacing bedframe obtained from storage. During interviews with Administrator and staff four (4) out of seven (7) staff stated that R1’s room was treated for bed bugs. Administrator stated that R1’s headboard and mattress had been replaced but could not recall if it was before or after treatment and if that was the source of bed bugs. During interviews with residents two (2) out of eight (8) stated that they have had bed bugs in their rooms. R1 stated that as soon as headboard was brought in bugs were observed, Administrator was notified of bugs and frame was removed. LPA Gutierrez observed work order from Bug Free Central Inc service report dated 01/28/26, that indicated room BB01 was treated for bed bugs and a mattress inventory log that stated 59 A replaced mattress on 01/25/26 and 59A & B had mattresses replaced on 02/03/26.

Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report and appeal rights were given to Cynthia Flores.

Deficiency is being cited. Exit interview was conducted and a copy of this report, 9099-D and appeals rights was provided.