Complaint Investigation Report

Allegation: Licensee did not provide resident of monthly fees upon admission.

On 02/12/2025 LPA interviewed W (W1). W1 stated that Resident (R) R1 never received any documents on the payments and due dates. W1 stated that R1 became aware of unpaid payments in mid Oct/Nov '24. LPA interviewed Staff (S). S1 and S2 stated that billing invoices were mailed monthly to R1's home address on file and that they also hand delivered a copy to R1 at the facility. S1 and S2 stated that the mailed billing statements were being returned back undelivered. LPA interviewed R1 that stated that they never received any billing statements while at the facility. R1 stated that they do not remember receiving billing invoices and that they have not received anything monthly directly from the facility. R1 stated that the address on file is where they lived 2 years ago and that their family does not live at that address anymore.

Based on LPA's observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted with Divine Fernandez. Appeal rights and copy of this report provided.