Complaint Investigation Report

On September 25, 2025, resident (R1's) responsible party informed facility staff of their concern regarding bedbugs and cockroaches in R1's room, causing R1 to sustain bug bites. Interview with Maintenance Director (MD) and Resident Care Director (RCD) indicated that, as soon as they were informed of the concern, they removed R1's bed from the room as well as inspected the room for evidence of pests. MD and RCD indicated that they inspected the removed bed and did not observe any evidence of pests. MD and RCD observed R1's room, as well as the roommates belongings and bed, however, did not observe any evidence of pests.

Pest control was contacted and they inspected R1's room on September 30, 2025. According to pest control service summary report, they indicated "after inspection of bed and surrounding area, found no signs of bed bug activity. A few bugs captured in monitors were ext/int roaches. Replaced all glue boards and baited a few areas where roaches are known to traverse. Tech to return next Tuesday for regular scheduled services to gauge overall activity to define next steps". On October 8, 2025, pest control returned due to a callback for concern of bedbugs in R1's room. According to service summary report, "after inspecting unit, I found no signs of bedbugs, no exoskeletons, poop, or egg casings found in bedframe or mattress or along baseboards. Only thing captured in glue boards were 2 roaches, replaced all glue boards and added additional underneath bed to gauge insect activity (if any)".

Interview with Pest Control Technician (PCT) indicated that they provide services every first Tuesday of the month and as needed. PCT indicated that the realistic goal is to keep the pests contained when providing services/treatment. PCT indicated that there is a threshold that they follow when providing services. PCT indicated that the MD also assists by replacing glue boards routinely. PCT indicated that they conducted a full inspection of R1's room with no indication or evidence of bedbugs. PCT indicated that, if there were bedbugs, there would be evidence not only in R1's bed but also in surrounding areas. PCT indicated that infestations do not just spring up. PCT indicated that they cannot bug bomb/fog half or partial of a building and would not risk residents' exposure to fumes due to respiratory issues and other health concerns. PCT indicated that they have other control methods such as gel baits to help control and reduce the population.

On October 9, 2025, LPA Calzada observed R1's room as well as a nearby room with MD and RCD. LPA Calzada did not observe any pests and both rooms were clean.

R1's Progress Notes, dated September 25, 2025, indicated that facility staff observed R1's skin. Staff indicated that there were no signs of bug bites and there was little redness from scratching dry skin. Staff indicated that they faxed R1's Primary Care Physician (PCP) and there was no need to send R1 to the Emergency Department (ER) per responsible party's agreement. Progress Notes also indicated that

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