Complaint Investigation Report

Regarding the allegation: Facility increased rate without appropriate notification. It is alleged that resident #1 (R1)’s rent has been increased since June 2025 for the amount of $ 1,464.07 instead of $ 1,444.07. During LPA’s interview with staff #1 (S1) and staff #2 (S2) R1’s rent did not increase until January 2026 in the amount of $1464.07 when their SSA-Social Security Administration benefits were increased. LPA received the copies of R1’s payments from June 2025 through January 2026 where it shows R1's Power of Attorney (POA) paid $1444.07 up to January 2026 and then paid $1464.07 for January 2026 and thereafter from the facility. Furthermore, LPA interviewed R1 and R1 did not know the amount they were paying. LPA also interviewed R1’s POA and R1’s POA stated, “they had been paying R1’s rent in the amount of $1464.07 not $1444.07 but never sent LPA their proof of receipts. Therefore, based on the record reviews, receipts received and interviews conducted, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Licensee failed to respond promptly and appropriately to communications from the resident’s representative. It is alleged that resident #1 (R1) RP asked Staff #1 (S1) how much the Medi Cal waiver pays towards R1’s rent and S1 refused to respond. During LPA’s interview with R1’s representative/Power of Attorney (POA) they wanted to know how much the waiver was paying towards rent but S1 refused to tell them. During LPA’s interview with Staff #1 (S1) and Staff #2 (S2) they both confirmed that the waiver pays for R1’s care not rent portion and a point system is used to determine the care. Furthermore, the waiver that the facility gets does not state form of payment for residents, it only states the tier-level of care. S1 and/or S2 would have to call the waiver program to check how much is being given for R1’s care but that doesn’t cover R1’s rent which was told to the POA. During LPA’s file review of R1, LPA observed the level of care for R1 was Tier 4 and was updated 03/2026 because their level of care had increased per the Waiver Representative and Point System used but it also did not state how much payment the facility receives for R1. LPA received a copy of the ALW-Assisted Living Waiver of 03/2026. Therefore, based on the record reviews, and interviews conducted, the allegation is UNSUBSTANTIATED at this time.