Complaint Investigation Report

Administrator (AD) regarding the allegation and AD confirmed receiving R1 SSI check for the month of February in the amount of $1575.07 was direct deposited into the facility account. AD stated there was no refund provided as R1 owed Hawthrone Terrace $2,648 dollars for past due rent for the Month of December 2023 and January 2024. AD continued to report that the SSI check received via direct deposit was for $1,575.07 which only covered a part of the debt owed, Per AD R1 still owes $1,073 but AD is forgetting about the remaining balance. On 2/20/2024 at 11:00am, LPA Villegas conducted a file review of R1 file and observed an admission agreement dated 10/30/2023 which revealed R1 rent rate would be $1384.82 and indicates R1 source of income as SSI and that the residents participates in the Assisted Living Waiver Program. LPA review invoices for October 2023-January 2024. LPA did not observe an invoice for the month of February but observed an invoice for December 2023 and prorated fees showing R1 February 2024 SSI check was applied for past overdue rent.

Based on evidence gathered through the course of the investigation the Administrator used R1 SSI check for February rent not for its intended purpose and did not reach out to the Social Security Information for guidance since R1 no long resides at the facility.

Based on LPAs interviews which were conducted and records review that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview conducted with the Administrator, appeal rights explained and copy of this report was provided.