Here are the level four signs of hoarding.
1. Structural damage older than six months. Mold and mildew throughout the house.
2. Using appliances in a different way than what they were intended for.
3. Damage to two or more sections of wall board. Inadequate weather protection.
4. Hazardous electrical wiring.
5. Odor or evidence of sewer backup.
6. Pets exceed the local limits of what is allowed, by four. Three or more instances of animal waste, pet dander on all of the furniture, pet damage in the house.
7. Large amounts of spiders and spider webs. Bats and raccoons in the attic. Flea infestation.
8. Rooms are unusable.
9. Flammable, packed materials are in living areas or in the garage. Hazardous materials found in living areas.
10. One to fifteen can goods bulging from age.
11. No clean dishes or utensils in the kitchen. No clean food prep surfaces.
12. No bed covers, and lice on bedding.
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