Complaint Investigation Report

It was alleged that facility accepted a resident that requires a higher level of care. Interviews with staff all indicated they are not capable of providing the level of care that R1 needs. All staff stated that they have not received any training regarding R1’s care and the care should be done by a licensed professional.

It was alleged that facility staff is not tending to resident’s health and care needs. Record review of the After Visit Summary showed that R1 has been in and out of the hospital numerous times dated from October 2024 to July 2025. Interviews with S2 and S3 revealed that the facility obtains the After-Visit Summary after the resident returns from the hospital. However, they do not follow up with the after-care instructions from the summary to provide care for R1. Interview with W1 disclosed that R1 has been to the hospital multiple times since R1’s admission to the facility for R1’s health condition.

It was alleged that facility increased resident's fees without any notification to the responsible party. A review of R1’s Admission Agreement dated 07/19/2024 showed that the facility was charging the resident for a private room without a break down of how much each services cost. LPA interviewed W1 and stated that the facility increased R1’s rent without proper notice for R1 residing in the private room. W1 stated that there is no documentation of the increase of rent nor the breakdown of the services.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted. A copy of this report and appeal rights provided.