197801985-4-30-2026-28-AS-FFIS-DWHQCE-20260731120300

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197801985
Report Date: 04/30/2026
Date Signed: 04/30/2026 03:07:45 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2026 and conducted by Evaluator Elena Mallett

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260427104852

FACILITY NAME:	LOVE N CARE GUEST HOME		FACILITY NUMBER:	197801985
ADMINISTRATOR:	BRILLANTES, HARRY		FACILITY TYPE:	735
ADDRESS:	11866 E. 162ND. ST.		TELEPHONE:	(562) 404-7601
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	8	CENSUS: 8	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	House Manager Luz Brillantes		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not ensure that residents' rooms were free of bed bugs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced initial complaint visit to
investigate the above allegation. LPA met with staff in charge Irene Smith and explained the purpose of
the visit.House Manager Luz Brillantes was contacted and joined the visit shortly after.

The investigation consisted of the following: LPA obtained copies of the staff & client rosters, toured the physical plant and conducted interviews with the two staff members ( S1-S2) and all eight clients (C1-C8) in care.

Regarding the allegation "Staff does not ensure facility is free of bed bugs." It is alleged that a client at the facility has bed bugs in client’s bed that has resulted in client having bed bug bites.
LPA interviewed all eight clients in care, (C1-C8). None of the clients reported having bed bug bites.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260427104852

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LOVE N CARE GUEST HOME	FACILITY NUMBER: 197801985
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/30/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/01/2026 Section Cited CCR 80087(a)(1)	1 2 3 4 5 6 7	80087 Buildings and Grounds..(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients,..(1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement is not met as evidenced	1 2 3 4 5 6 7	By POC due date, Administrator will submit a plan via Fax to LPA for a professional exterminator to inspect, treat and clear physical of bed bugs. Following treatment and clearance, Administrator will submit to LPA via Fax documentation from professional exterminator of work done.
	8 9 10 11 12 13 14	Staff 1 and 2 self-treated facility for bed bugs in previous months but bed bug dropings were observed in bedframes in client rooms 2 and 4 and live bed bugs observed on client matress in Client Room 4 This poses an immediate health and safety risk to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260427104852

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LOVE N CARE GUEST HOME	FACILITY NUMBER: 197801985
	VISIT DATE: 04/30/2026

NARRATIVE

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Four (4) out of (8) clients (C1,C2,C7,C8) reported seeing bed bugs in clients' rooms. C1 and C2 reported seeing bedbugs in Room 2 on 04/27/26 and C7 and C8 reported seeing bed bugs in Room 4 on 04/30/26. Staff 1 (S1) and Staff 2 (S2) deny any clients have bed bugs bites but confirm seeing bed bugs in Room 2 on 04/27/26 and in Room 4 on 04/30/26. Eight(8) out of (8) clients interviewed stated staff addressed the bed bugs being present in the facility after being made aware there were bed bugs present. Staff 1 and Staff 2 stated bed bugs being present in the facility was addressed by staff after clients brought it to staffs' attention.
LPA did not observe any bed bug bites on any of the eight clients in care(C1-C8) or on staff members (S1and S2). LPA toured all four client bedrooms. Bedbug droppings were observed on client bedframe in Room 2. Bedbug droppings and live bed bugs were observed on the a client mattress in Room 4. LPA did not observe live bed bugs or droppings of bed bugs on the living room sofas. LPA observed a mattress on the curb in front of the house.
An interview with the S1 revealed that the facility had bed bugs present a few months ago and per S1 were self- treated by S1 and S2 with spray. S1 consulted with a professional exterminator but staff 1 and 2 handled the actual treatment. Staff 1 and 2 stated that clients are told to let staff know if bed bugs are present. S1 and S2 stated Room 2 and living room sofas were sprayed by S1 a few hours after being made aware of the bed bug sighting by Client 1. Staff 1 and Staff 2 sprayed Room 2 and the living room sofas again the next morning. The other client rooms were not sprayed/ inspected for bed bugs as no other clients had reported seeing bed bugs. Per S1, the mattress LPA observed on curb outside the house was being disposed of because of the presence of bed bugs.
LPA asked S1 to provide a copy of the professional exterminator's consultation document that detailed recommendations for bed bug treatment but S1 could not provide a copy.

The investigation revealed that there were bed bugs present in client bedrooms.

Based on LPA’s observations and interview the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiency cited on the attached LIC 9099D per Title 22 regulations. An exit interview was conducted with Staff in charge, Irene Smith and a copy of this Licensing report was provided along with the Appeals Rights.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

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