Complaint Investigation Report

Advanced total payment was given by POA to licensee as requirement for resident’s admittance to the facility on 7/11/22 to cover July and August 2022 monthly rate, optional services and pre-admission fee. Both licensee and R1’s POA confirmed with LPA that no written addendum to the signed admission agreement or notice explaining detailed additional services & itemized charges for higher level of care of R1 after 2 days from change in level of care at the facility was done or signed by them. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the allegation that facility did not notify resident’s responsible party of a rate increase was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D.

Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided via email.