Complaint Investigation Report

cable fee and half of the pre-admission charge (as the agreement states half to be reimbursed for less than a 90 day stay). There is discrepancy between what R1’s responsible party says was paid for R1’s stay versus what the licensee’s accounting said was paid. The department does not determine the actual amount only that overpayment was made and a refund is due. The parties involved will seek to resolve the amount owed and seek other means to remediate any discrepancy.

Records review and interview conducted also found that under CCR 87507 – Admission Agreement section (e), a copy shall be provided to the resident and/or responsible party at signing and section (g)(3)(H) a itemized monthly payment statement shall be provided to the resident and/or responsible party, the admission agreement nor the itemized statements were issued to R1’s responsible party promptly when requested.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with . Copy of this report and appeal rights provided.