Complaint Investigation Report

Allegation: Facility did not issue residents a copy of the contract.

The complainant requested for The Department to investigate the allegation "Facility did not issue residents a copy of the contract". According to the complainant, the facility failed to provide a copy of the (contract) Admissions Agreement for resident #1 (R1). (R1) was admitted at this facility on 01/2822 and the family representative was not provided a copy of the signed Admissions Agreement. on 01/27/22. According to the complainant, requests were made with the administrator on 02/19/22, 06/09//22, 06/25/22, and 06/29/22 with no response from the administrator. Interview with the administrator staff #1 (S1) stated (R1) was a resident at this facility from 01/28/22 through 05/23/22. (R1) was admitted at Torrance Memorial on 05/08/22 due to a fall and later admitted again at Kaiser Hospital on 05/23/22 due to weakness. According to (S1), (R1) did not return to the facility as (R1) required a higher level of care. (S1) admitted not providing a copy of the contract when (R1) was admitted on 01/28/22. (S1) states she later honored the request to (R1's) family representative and sent a copy by USPS mail sometime in July 2022. However, (S1) did not have proof a copy was sent nor was staff #2 (S2) able to verify (S1's) claim.

In the course of the investigation, it was revealed that the facility failed to submit a written incident report to Community Care Licensing, Long Term Ombudsman, the primary physician, and the family representative of (R1) during an incident on 05/08/22 and 05/23/22.

Based on the Department's observation and interviews, record reviews, and analysis, the preponderance of evidence standard has been met, therefore the allegation of "Facility did not issue residents a copy of the contract" is found to be: Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is cited on the attached LIC 9099-D.