Complaint Investigation Report

Regarding Allegation #1 : Client in care was seen infested with bedbugs and lice.

The alleged client in care was seen infested with bedbugs and lice. On 06/14/2023 LPA Calderon interviewed A1 for complaint. A1 relays that S1 called A1 cell phone to inform A1 that C1 was transported to the hospital due to health issues. A1 relays that S1 called 911 as C1 did not respond to verbal calls. A1 relays that C1 was seen by doctor on 05/05/2023 and there was no mention of bedbugs or lice. A1 relays that A1 spoke to C1 2 days prior to the incident and C1 did not have bedbugs or lice. A1 relays that A1 spoke to the hospital and was advised that C1 had a stroke and then 2 days later the social worker informed A1 that C1 had bedbugs and lice, which A1 does not believe C1 had bedbugs or lice but does not dispute the hospital diagnoses. On 06/14/2023 LPA Calderon interviewed S1 for complaint. S1 relays that S1 was serving clients dinner at 6pm and that S1 had just given C1 a cup of juice. S1 relays that S1 heard other clients yell out “C1 has passed out”. S1 relays that S1 left the kitchen and found C1 on the ground non-responsive. S1 checked to see if C1 was breathing and then called 911. S1 relays that S1 did not notice if C1 had bedbugs or lice but S1 does not think so. On 06/14/2023 LPA Calderon interviewed S2-S3 for complaint. Staff relays that there is no bedbugs or lice in the facility. Staff relay that they checked C1 room and bed for bedbugs or lice and found none. Staff relays that they change the clients bed sheets 2 times per week and clean the rooms daily and have found no bedbugs or lice. On 06/14/2023 LPA Calderon could not interview C1 as C1 is still in the hospital at this time. On 06/14/2023 LPA Calderon interviewed C2-C6 for complaint. C2 and C5 relay that they have never had bedbugs or lice in their room and have not seen any bedbugs or lice in the facility. C3 relays that C3 notice bedbugs in C3 room 2 weeks ago and C3 reported the bedbugs and staff cleaned C3 room and there were no issues going forward. C4 relays that C4 did not have bedbugs or lice in C4 room but did see other clients with red spots and scratching their heads. C4 does not know for sure if other clients had bedbugs or lice but C4 believes this is true. On 06/14/2023 LPA Calderon reviewed C1 facility file. LPA Calderon did not note any mention of bedbugs or lice associated to C1, A1 could not produce any pest control reports for 2023 due to A1 relays no issues with pests. LPA Calderon reviewed doctors report dated 05/05/2023 regarding C1 checkup. No mention of C1 having issues with bedbugs or lice. On 06/14/2023 LPA Calderon and A1 toured the facility. C6 walked up to LPA Calderon and walked LPA Calderon to room 1C, showed LPA Calderon a shirt that was covered with dead bedbugs. LPA Calderon did not note or find any moving bedbugs in the facility.