Complaint Investigation Report

392700997-4-15-2022-27-AS-LKIG-CDPW5R-20220421165932

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

02/22/2022 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20220222163759

On 4/15/22 at 9:30am Licensing Program Analysts (LPAs) Maja Jensen and Michael Bilger arrived at the facility unannounced to deliver complaint investigation findings related to the above allegation. LPAs met with Resident Care Coordinator Andrea Eldridge and explained the purpose for today's visit.

LPA Maja Jensen interviewed staff 1 (S1) on 3/30/33, staff 2 (S2) on 2/25/22, staff 3 (S3) on 2/25/22 and resident 1 (R1) on 2/25/22. LPA Jensen toured multiple resident rooms on 2/25/22. On 4/14/22 LPA Jensen reviewed a monthly service contract with a pest control service dated 2/22/22 and service receipts for November 2021 and December 2021. LPAs Jensen and Bilger observed on 3/30/22 that the facility has conducted renovations that include replacing all carpeting with laminate flooring and the facility has purchased new furniture to replace all existing furniture. On 4/15/22 the Resident Care Coordinator advised that the facility is currently clear of bed bugs. This allegation is UNSUBSTANTIATED. Based on the observations, interviews and records reviewed, the facility is taking all actions necessary to control and eradicate pest infestation.

An exit interview was conducted and a copy of this report was left with the facility.