Facility Evaluation Report

During the course of an investigation Licensing Program Analyst (LPA) Amy Goldenberg found that Na "Sandy" Zhao provided LPA with false statements regarding a refund. While being interviewed regarding issing a refund to responsible party of Resident number 1 (R1) Sandy tells LPA that the refund was handled by the facility administrator, Brandon Marquez. During LPA visit on 6/2/2023 LPA spoke telephonically with the Administrator regarding the statement that Sandy made that the administrator had issued the refund, to which they reports that Sandy handles all the refunds and he did not provide a refund. Evidence supports that Sandy has provided false statements to LPA Goldenberg on 6/2/2023 regarding the administrator issuing a refund R1's responsible party. LPA has found that a violation has occurred and is issuing a deficiency. See also LIC 809D. This report was reviewed along with appeal rights to the facility representative. LPA provided a copy to the facility representative prior to leaving the facility.