Complaint Investigation Report

075601018-7-19-2024-15-AS-KHOS-D84RER-20240813125759

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/16/2024 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20240516161048

Family was not provided detailed explanation of addional services, inlcuding itemization of charges

On 07/19/2024 at approximately 11:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to deliver the investigation findings. Upon entry, the LPA informed Administrator (ADM) Annette Sanchez of the purpose of the visit.

The complaint alleges that family not provided detailed explanation of additional services nor itemization of charges. After interviews of the ADM and staff member S1 and a thorough review of R1’s records and communications between the staff and family member W1 who served as R1's financial agent, the LPA confirmed that detailed explanations of additional services and an itemization of charges had been provided by the facility to the family.

Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted. Appeal Rights and a copy of this report provided.