Complaint Investigation Report

496801684-2-13-2025-21-AS-BMOS-DE7QFJ-20250224110800

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

01/02/2025 and conducted by Evaluator Marisol Cuadra

COMPLAINT CONTROL NUMBER: 21-AS-20250102163018

Charito Santos (Administrative Assistant)

-Staff did not keep residents free from bed bugs.

Licensing Program Analysts (LPAs) Cuadra and Deniz arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Charito Santos, Administrative Assistant.

The Department received an allegation of staff did not keep residents free from bed bugs. The reporting party stated that resident (R1) was observed to have a bug infestation and an infection. LPA conducted 10-day visit on 1/7/25 obtained pertinent records and conducted interviews with Administrative Assistant. The Administrative Assistant told LPA that it had been hard to get rid of bed bugs, but they are treating resident’s rooms in a regular basis. However, based on LPA’s records review of facility internal temperature logs, it revealed that the last time they have treated resident’s rooms was on May 2024. Per Administrative Assistant, the staff have been forgetting to maintain the log in a regular basis, but R1’s room have been treated after been notified of the presence and lack of treatment of bedbugs in the facility. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. An immediate civil penalty in the amount of $250 will be issued for repeated violation within the last 12-month period.