Complaint Investigation Report

Monthly service cost $ 6000 plus additional level of care $ 300 total $6300 x 4 = 25,200 subtract ($1260) the 5% discount from the facility total refund is $23,940.

LPA discussed refund check for the reminder total of $23,940 based on the advance 4 months payments total refund due to POA for the 4 months in advance from July to October 2022.

Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation 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.