Complaint Investigation Report

Per review of the Residency Agreement docusigned and dated on April 12, 2023 by both parties, the agreement states on page 8, Section D, that the agreement will be immediately terminated "upon written notice if a physician certifies... in writing" due to reasons of health. As a result of the agreement, facility requested that the RP obtains a physician certified letter in lieu of a letter certified by a social worker. The physician certified letter dated April 16, 2024 was provided to the facility which is the effective date of R1's move. It is determined based on the evidence obtained that the facility is not adhering to the resident's admission agreement due to not issuing a prorated refund.

Therefore, based on LPAs' interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is deemed SUBSTANTIATED as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. A deficiency is being cited on the attached LIC 9099D.

An exit interview was conducted with Executive Director Jeri Miles, and a copy of this report including the LIC9099C, LIC9099D, LIC811, and the appeal rights were provided at the end of the visit.