Complaint Investigation Report

specified in the admission agreement, a needs and services plan modification has been performed which determined that the client's needs cannot be met by the facility and the client has been given an opportunity to relocate, or change of use of the facility. Review of the notice of eviction letter issued to R1 revealed an issue date of 08/30/2021 and proposed move out date of 09/28/2021. This letter did not provide for a full 30 day notice to R1 or their legal conservator. Likewise, the eviction notification failed to provide information relevant to the allowable reasons for a 30 day eviction per regulation.

Based on the aforementioned, we have substantiated the complaint allegation as valid and have determined that a violation has occurred based on the preponderance of available evidence.

A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative. Please see LIC 9099D.