Complaint Investigation Report

150400536-10-19-2021-24-AS-MHON-C8X2SZ-20211119163954

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

01/26/2021 and conducted by Evaluator Malia Thao

COMPLAINT CONTROL NUMBER: 24-AS-20210126135433

Facility staff financially abused resident.

Facility increased resident's rate without proper notice.

On 10/18/21 at 8:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to deliver findings. LPA was granted entry by front receptionist. LPA met with Administrator (ADM) Rochelle Balaban.

During the course of the investigation, LPA conducted interviews and reviewed records. Based on LPA’s observations, interviews, and records reviewed, the preponderance of evidence standard has been met. Facility self reported S1 was found to have financially abused R1. S1 admitted to receiving checks from R1. Facility increased R1’s monthly fee due for January and February 2021 without the proper advance written notice of 60 days. The above allegations are substantiated.

Deficiencies are being cited based on LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC9909D.

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and emailed to the email address on record with “Read receipt” to confirm receipt of this report.