Complaint Investigation Report

LPA also received an email correspondence from Executive Director who stated that they were "under the impression that our Health Service Director confirmed the date of Oct 29, 2025 with the responsible party (RP). Turns out that was not the case." regarding R1 being moved rooms. It was explained to LPA by Business Office Director that the family was aware that R1 was going to move rooms however the facility never confirmed the date of the move and did not provide a written 30 day notice to the responsible party therefore the allegation " Staff did not give resident's responsible party proper notification of resident's room change" is substantiated.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are 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. Appeal Rights and a copy of this report provided.