Complaint Investigation Report

The information obtained during investigation indicated that facility Administrator did issue a written 30-day notice to the R1/R1's Responsible Person. During the review of eviction notice, LPA observed that the eviction notice indicated the issue date of 10/22/2025 and pro-rated charges until 11/22/2025. However, the written notice did not include the reason for the eviction, a list of referral agencies, the right of the resident or resident’s legal representative to contact the department and the contact information for the local Long-Term Care Ombudsman nor did it include specific language in reference to the filing of an unlawful detainer as per SB 781 and 1569.683 H&S . In addition, Community Care Licensing Office was never notified or received a copy of the eviction notice since it was issued. Based on the information obtained during the investigation the allegation is Substantiated.

Exit interview conducted, appeal rights explained and copy of this report signed and delivered.