Complaint Investigation Report

During the course of the investigation, LPA interviewed Administrator, Resident #1's (R1) responsible party (RP), and reviewed records, including but not limited to the admission agreement provided to RP. Based on interviews and records review, a preadmission appraisal was not completed by facility, resident did not end up moving into the facility, and as of 9/21/22, facility had not issued a refund of the $500 preadmission fee. The preponderance of evidence standard was met and the allegation: Staff did not refund fees to resident who decided not to enter the facility was SUBSTANTIATED. A deficiency was cited in accordance with California Code of Regulations, Title 22, Division 6 on the attached 9099D.

Administrator was informed that a copy of this report will be emailed to her for signature, as will a clearance letter for the above deficiency as it has been verified that the refund of $500 was issued to RP subsequent to the deficiency.