Complaint Investigation Report

126803830-2-12-2025-21-AS-BMOS-DE7PX4-20250224104143

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

01/17/2025 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20250117112835

Licensee did not ensure a refund was issued to residents responsible party in a timely manner

At approximately 10:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility uannounced to conduct an investigation into the above allegation. LPA met with Executive Director Roger Endert and reviewed records. Based on records reviewed and interviews conducted, Licensee did not issue a refund to residents responsible party within the timeframes provided in Title 22 regulation and the Health and Safety code. Resident passed away on 10/08/2024 and all personal belongings were removed from the premise on 10/14/2024. To date, responsible person has not received a refund.

Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Roger Endert and Appeal rights were given.