Senior Care Records.

Complaint Investigation Report

Midomar Home IV, West Covina01/11/2024Licence 197802648

Census3
Date signed01/11/2024 03:32:01 PM
Name of licensing program analystNune Margaryan
Name of licensing program managerWei Siew Ho
The inspector’s account

Allegation 1: Staff did not ensure facility was free from pests. It was alleged that rat feces observed under the clients bed.

S1 states that on 01/03/24 S2 informed them that rats feces observed in C1's room. S1 states that staff and clients never complain about rats and the facility didn't have an exterminator treat until 01/04/24. Facility contacts the pests control company at the same day 01/03/2024 and on 01/04/24 facility was treated by the TermiGone Extermination INC. company. LPA obtained a copy of invoice/report from the company. On the customer service report dated on 01/04/2024, the service specialist noted the following: rodents activity found at the facility. Also found 2 entry points for rodents and they need to be re-screened. Per report 6 glue boards were set-up in the office, kitchen, and adjacent rooms. LPA toured the facility and observed 3 glue boards in the kitchen: 2 on the left side of stove and one on the right side of stove, 2 glue boards in the hallway under cabinet and 1 glue boards in the office under the desk. LPA also found the rat feces in C1's room under the bed. Pictures were taken by LPA. Assistant Administrator stated that they will be in contact with the company regularly until get rid of this problem.

Allegation 2: Staff did not clean the clients room. It was alleged that clients room was dirty, filthy and staff had not been cleaning the rooms. At the time of visit LPA toured the facility including the living room, kitchen, office, clients rooms, clients bathrooms and backyard. LPA observed rodents feces in C1's room under the bed (picture was taken by LPA). LPA also observed that 2 entry points in sub-area that mentioned on the pests control company's report not re-screened yet. Interviewed staff stated that the facility staff clean clients rooms daily, and deep cleaning 2 times a mouth. At the time of visit LPA noticed that facility was not dirty, filthy, however obtained pictures and videos from C1's conservator showed that C1's clothing on the floor in the closet, dust on the floor and on the moldings in the room, dust and rodents feces under the bed.

Based on LPA's observations and interviews conducted, the preponderance of evidence standard has been met, therefore, the above mentioned allegations are found to be substantiated and citations issued.

An exit interview was conducted and a copy of this report was provided to the Assistant Administrator along with the Appeals Rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction