Complaint Investigation Report

191201168-5-20-2022-31-AS-CHAS-CEXVWA-20220531164737

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/18/2022 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20220518163757

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit to investigate the allegation above. LPA met with facility staff and explained the reason for this visit.

It is alleged that the facility has some issues with bed bugs. Regarding this allegation LPA conducted an interview with assistant administrator from 12:35-12:55pm. LPA also conducted an interview with residents in the facility regarding this allegation from 1:15-1:30pm. Information from interviews reveal that there was an issue with bed bugs in some rooms of the facility. Orkin Pest Control came to treat bed bugs in specific rooms on 5/13/22 and returned on 5/18/22 to finish treatment on the rooms affected with bed bugs. The Department of Public Health also came to the facility regarding bed bugs on 5/17/22. LPA also reviewed and obtained documentation from Orkin Pest Control related to their visits to the facility on 5/13/22 and 5/18/22 from 1:30-1:45pm. Based on the information obtained through interviews and documentation this allegation is deemed Substantiated. Deficiency cited on LIC 9099 D. Appeal Rights explained. Exit interview conducted.