Complaint Investigation Report

392700993-10-3-2024-27-AS-KHOS-DBMPVX-20241204103951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

08/27/2024 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20240827092029

Staff did not ensure the facility was free from bedbugs.

“On April 16th, 2024 the facility DON/AED had emailed LPA and self reported concerns about bed bugs in the facility based upon our regular facility inspection.” The facility provided proof that treatments to all suspected rooms were conducted the same day of self-reporting. You also advised that residents stayed in alternative rooms until treatment was completed and adhered to the recommended time frame the exterminator recommended for residents to remain out of the area for safety and health precaution.

During the investigation it was determined that through record reviews and interviews, the facility is addressing the situation by maintaining an exterminator contract to provide routine bed bug treatment service. Based on this information the allegation is unfounded