Complaint Investigation Report

Interview with the administrator revealed that the facility was relying on the neighbors for water to wash dishes and flush toilets. LPA review of the admission agreement contracts on file verified that during the time that the water was turned off, residents could not have been receiving baths as described in the agreements, that the facility staff could ensure the facility was clean, and that laundry needs could have been met. Resident record review included the admission agreement, physician's report, pre-admission appraisal, and resident information page for R1. Investigation revealed the following: On November 18, 2022 R1 passed away. It is alleged that the responsible party did not received a refund for November 2022 prorated rent. LPA review of R1's admission agreement on file, signed by R1's responsible party, indicates on page 12 that refunds will be issued within 60 days after personal property is removed from the location. R1's responsible party removed R1's belongings on 11/25/2022 according to an interview with the Licensee Na "Sandy" Zhao a refund was issued by Administrator Brandon Marquez. LPA interview with the administrator revealed that the refunds are handled by Sandy and they had not issued a refund to R1's responsible party. No documentation has been provided as evidence that a refund was provided. Interview reveals that there are no records of a refund.

We have substantiated the complaint allegations as valid and 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.