Facility Evaluation Report

Licensing Program Analyst (LPA) Tricia Danielson and Licensing Program Manager (LPM) Deborah Mullen arrived unannounced to the facility to conduct a case management visit. LPA and LPM entered the facility but were unable to locate any staff. LPA phoned Licensee/Administrator (LIC) Aimee Cabiling to notify her of the presence of Community Care Licensing (CCL) staff in the facility. LIC stated she was driving and was enroute to the facility but would arrive momentarily and did arrive shortly thereafter. LIC reported her husband was in the facility. LPA and LPM were unable to locate anyone other than clients. LIC's son also arrived to assist CCL staff.

During today's visit, LPA and LPM toured the facility with LIC and her son. LPA and LPM observed bed bugs crawling on the walls, window sill, and two (2) client beds in room 306. There was evidence of bed bug excrement on a box spring which was leaning up against furniture in the TV area on the 3rd floor. In room 201, bed bug excrement was observed on the only mattress in the room. Bed bugs were also observed on the floor boards in the hallway on the 3rd floor. Five (5) of five (5) client bathrooms were observed to be unclean and absent of toilet paper. Liquid Plumber and Magic Power bathroom cleaner were observed in a bathroom on the 3rd floor as well. Trash cans in the kitchen were absent of lids. Rodent droppings were observed in the food serving area shelves and drawers. Kitchen refrigerators and freezers were observed to be filled with rotting and/or expired food, undated opened food containers, and drippings from rotting food and/or meats. Flies and gnats were observed on the dining room walls, decor, and furniture. Pre-poured medications in both individual use medication cups and weekly/monthly pill planners were observed in the med room and kitchen area. Expired meds and meds of previous clients were observed in the med room. Per LIC Cabiling, she has attempted to properly discard these meds with a pharmacy and local police but neither would accept it.

Therefore, based on the observations made during today’s visit, the following deficiencies were cited per Title 22, Division 6 of the California Code of Regulations. See LIC 809D. An exit interview was conducted and this reported was provided along with appeal rights.