Complaint Investigation Report

On 04/03/23. LPA confirmed with hospital staff (SW) that ADM did not pick up R1 who was waiting for pick-up at the hospital that day.

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(s) that staff abandoned resident at the hospital was found to be substantiated.

Allegation: Staff did not follow proper eviction procedures for resident

During visit, LPA confirmed with administrator (ADM) that she did not issue a written eviction notice to resident (R1) and her authorized representative (POA). ADM confirmed with LPA that R1’s personal belongings were removed from the facility on 04/03/23 and that R1 did not return to the facility from the hospital.

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(s) that staff did not follow proper eviction procedures for resident was found to be substantiated.

Deficiencies are 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.