Complaint Investigation Report

Allegation: Staff did not provide an itemized receipt to resident for care services rendered.

The complaint alleges that "R1 paid a total amount of $10,500.00 for 1 ¾ months stay (3/12/25-5/3/25) and never received an itemized receipt for care services rendered." On 6/4/25 at 10:42am, LPA interviewed Administrator Designee (A1), Charesa Reyes who did not deny the allegation. A1 admitted that R1 was not provided an itemized receipt for her stay at the facility (3/12/25-5/3/25).

Based on LPAs interview and the review of records, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8 are being cited on the attached LIC 9099D .

Exit interview conducted and Copy of appeals rights and report provided to Charesa Reyes, Administrator Designee.