Complaint Investigation Report

197610152-11-9-2022-31-AS-MVAO-CM3U9F-20221213142305

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/08/2022 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20221108084148

Staff refuse to refund preadmission fee to resident's authorized representative

At 2:45 p.m. on 11/09/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with Administrator and disclosed the reason for the visit.

Regarding the allegation above, it was alleged that Person #1 (P1) paid $500 for a potential resident’s pre-admission fee and did not receive a refund. LPA interviewed P1 at 8:23 a.m. on 11/09/2022. LPA interviewed the Administrator at approximately 3:00 p.m. on 11/09/2022. From interviews, P1 and their resident never entered the facility after finding out the resident was unfit for assisted living and needed a skilled nursing facility. P1 was not informed of the facility’s refund policy regarding pre-admission fees. Based on interviews, Based on observations, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on LIC 9099-D.

Exit interview conducted. Copy of report provided. Appeal rights discussed.