Complaint Investigation Report

210102761-10-9-2023-21-AS-ANAI-CWFQUV-20231009122919

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

08/31/2023 and conducted by Evaluator Jennifer Walden

COMPLAINT CONTROL NUMBER: 21-AS-20230831165745

Provider failed to notify residents and post a summary of the plans and application as required by Health and Safety Code Section 1779(e)

Complainant alleges that the Provider’s SNF Closure Application, resulted in violation of Health and Safety Code Section 1779(e) which states that, “Within 10 days of submitting an application for a certificate of authority pursuant to paragraph (3), (4), (7), or (8) of subdivision (a), the provider shall notify residents of the provider's existing community or communities of its application… A summary of the plans and application shall be posted in a prominent location in the continuing care retirement community so as to be accessible to all residents and the general public, indicating in the summary where the full plans and application may be inspected in the continuing care retirement community..” because provider failed to provide notification to residents nor posted a summary of the plans and the application in a prominent location in the community, within 10 days of the application.

The Department’s investigation determined that the Department received notification in writing on June 5, 2023, of The Tamalpais’s intention and plan to convert its skilled nursing facility to assisted living and memory care; however, this application/notification was provided under HSC 1789. On September 5, 2023, the Department received an abbreviated application from The Tamalpais to delicense some of its skilled nursing facility (SNF) beds to be converted to RCFE beds. On September 12, 2023, provider sent out notification to Tamalpais residents and Resident Council with notification that the application has been filed, the notification also included the location at the community where the application, summary and plans were posted in compliance with HSC 1779(e); therefore, the Department finds the allegation “unsubstantiated”.

LIC9099 delivered telephonically (Jennifer Walden, Allison Nakatomi and Paul Friesen), emailed, and signed copied emailed