Complaint Investigation Report

R2-R6 all concur that roaches/bugs/insects have not been observed in their rooms nor in the facility. S1-S2 concur that a roach was observed when R1 had a visitor.

Based on observation by LPA and Administrator, and interviews conducted confirmed during this visit, the investigation revealed that the facility has a contract with a pest control. The facility is not infested and this may have been an isolated occurrence. However, the most recent service did not entail spraying for pests

for interior physical plant which was conducted 6 months ago.

The preponderance of evidence has been met. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 9099D during this visit.

If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed.

The facility representative was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

An exit interview was conducted, a copy of the report was given.