Complaint Investigation Report

Four (4) out of (8) clients (C1,C2,C7,C8) reported seeing bed bugs in clients' rooms. C1 and C2 reported seeing bedbugs in Room 2 on 04/27/26 and C7 and C8 reported seeing bed bugs in Room 4 on 04/30/26. Staff 1 (S1) and Staff 2 (S2) deny any clients have bed bugs bites but confirm seeing bed bugs in Room 2 on 04/27/26 and in Room 4 on 04/30/26. Eight(8) out of (8) clients interviewed stated staff addressed the bed bugs being present in the facility after being made aware there were bed bugs present. Staff 1 and Staff 2 stated bed bugs being present in the facility was addressed by staff after clients brought it to staffs' attention.

LPA did not observe any bed bug bites on any of the eight clients in care(C1-C8) or on staff members (S1and S2). LPA toured all four client bedrooms. Bedbug droppings were observed on client bedframe in Room 2. Bedbug droppings and live bed bugs were observed on the a client mattress in Room 4. LPA did not observe live bed bugs or droppings of bed bugs on the living room sofas. LPA observed a mattress on the curb in front of the house.

An interview with the S1 revealed that the facility had bed bugs present a few months ago and per S1 were self- treated by S1 and S2 with spray. S1 consulted with a professional exterminator but staff 1 and 2 handled the actual treatment. Staff 1 and 2 stated that clients are told to let staff know if bed bugs are present. S1 and S2 stated Room 2 and living room sofas were sprayed by S1 a few hours after being made aware of the bed bug sighting by Client 1. Staff 1 and Staff 2 sprayed Room 2 and the living room sofas again the next morning. The other client rooms were not sprayed/ inspected for bed bugs as no other clients had reported seeing bed bugs. Per S1, the mattress LPA observed on curb outside the house was being disposed of because of the presence of bed bugs.

LPA asked S1 to provide a copy of the professional exterminator's consultation document that detailed recommendations for bed bug treatment but S1 could not provide a copy.

The investigation revealed that there were bed bugs present in client bedrooms.

Based on LPA’s observations and interview the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiency cited on the attached LIC 9099D per Title 22 regulations. An exit interview was conducted with Staff in charge, Irene Smith and a copy of this Licensing report was provided along with the Appeals Rights.