LPA interviewed Client 1 (C1), who lives in that room. C1 stated that although they do not currently have bed bugs, they regularly see cockroaches and have also seen rodents inside the facility. LPA then spoke with Client 2 (C2), who has lived at the facility for approximately two weeks. C2 stated they had not yet observed any pests in their room. LPA interviewed Client 3 (C3), who reported seeing cockroaches, bed bugs, and rats in various parts of the facility. C3 also stated that the manager is often in their room during the day and becomes upset or yells when clients knock on their door to request their medications or assistance.

LPA interviewed an outside source who works with clients in the facility and has visited the building on multiple occasions. The outside source stated that the facility is filthy and has significant pest issues, including bed bugs, cockroaches, and rats. The outside source also reported that one client’s adult day program had instructed them not to attend due to an ongoing bed bug problem at the facility. Additionally, the outside source shared that clients have told them the manager spends extended periods inside their room and becomes angry or yells when clients approach the door for help. LPA interviewed a source that works closely with the facility including the staff and clients. They stated that the facility has had a pest issue for over 3 years. The source further stated that the Facility Manager is often in their room and not supervising the clients in care.

Based on the observations during the visit—including live cockroaches found in a client’s room—and the consistent statements from clients and outside sources, there is sufficient evidence to show that the facility did not provide adequate supervision. Additionally, visible evidence of cockroaches, confirmed reports of bed bugs and rodents, and statements regarding clients being barred from external programs due to pests support the allegation that the facility did not ensure the environment was free from insects and other pests. Based on observations, interviews, and information gathered during the investigation, both allegations are substantiated. The facility did not provide adequate supervision and did not maintain a pest free living environment as required. The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Marianne Alfaro A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Marianne Alfaro at the conclusion of the visit. The signature below confirms the receipt of these documents.