Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez and Licensing Program Manager (LPM) Christine Kabariti conducted an unannounced Plan of Correction (POC) visit to clear a deficiency that was issued on 03/26/26.

During visit LPA and LPM received the POC from Administrator dated 03/27/26 that was not submitted by the POC due date 03/27/26. Based on interview with the administrator the POC was not submitted and ADM stated he submitted POC via email, upon checking he stated email was not sent.

The POC states the facility has implemented multiple layers of of treatment and mitigation to eliminate pests and prevent occurrences. The facility has had a contract with third party agency dated 11/21/24 that states third party agency will be conducting treatments bi-monthly. ADM stated he conducts treatments of approved treatment powder along baseboards and the installation of bed bug traps on all bed legs. ADM stated the facility has a written contract with a separate third party agency that will be tenting the facility to treat bed bugs, and cockroaches. ADM states the tenting and fumigation will be completed upon approval of the relocation due to renovations. The facility is still planning to relocate residents for renovation and treatment of pests. During visit, ADM provided a new maintenance service agreement dated 04/07/2026, which changed from a bi-monthly to monthly service schedule for the treatment of crawlers.

Around 9:20AM, LPA and LPM toured the facility bedrooms #1-12 and observed powder treatment on the baseboards of the rooms. No live bed bugs were observed during visit. LPA and LPM observed rooms (#10 and #4) were missing bed bug traps underneath the beds. LPA and LPM observed a strong smell of urine in bedrooms. LPA and LPM reminded ADM that the fan vent of the bathrooms need to be clean which were observed to have a thick layer of dust and grime. ADM stated that the staff are currently working on cleaning the facility. See LIC809-C.