Complaint Investigation Report

Allegation: Staff did not provide a proper eviction notice to resident or resident’s authorized representative.

On 12/30/23, resident (R1) and their responsible party received an unlawful eviction notice from the facility. The eviction notice did not provide a list of referral agencies or alternative housing options, as well as information about the resident’s right to file a complaint with the Department with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. The Department obtained a copy of the notice on 1/19/24. The Department did not review the eviction notice prior to the facility providing a copy to R1 and their responsible party. Interview with Administrator indicated that they provided a copy to the Ombudsman and not the Department when the notice was issued. LPA advised the Licensee to submit any eviction notices to the Department and provided information on how to create a lawful eviction notice. A lawful eviction notice was created on 1/23/24 and provided to the Department.

Based on records reviewed and interviews conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached 9099-D page.

Exit interview conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.