Complaint Investigation Report

247209209-12-15-2023-24-AS-BCHN-CYMVUQ-20231218154503

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

05/11/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230511143721

Licensing Program Analysts (LPA's) Sarah Hurt and Brianna Miranda arrived unannounced to deliver findings on the above allegatuons on 12/01/23 at 10:00 a.m.. LPA's met with facility Assistant Administrator Airen Miro and stated the purpose of the visit.

Regarding the allegation Staff did not issue a refund. Resident 1 provided proof of two paid fees to Licensee totaling $1,855.00 in two separate payments dated on 08/01/2022 (Admission fee $500), and on 08/16/2022 (holding fee $1,355.00.) Resident 1 never moved into the facility. Licensee refunded Resident 1 $500 of the fees paid. The Admission Agreement does not speak to any non refundable "holding" fees. Based on records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

The following deficincies are being cited Per Title 22 Regulations.

Exit interview conducted with Assistant Administrator Airen Miro, and a copy of this report provided.