Complaint Investigation Report

According to Administrator Linda, she only included a few of the reasons for the eviction to protect the resident. Administrator stated the case manager and family are aware of the incidents that are alleged to have occurred. According to Administrator Linda, she withdrew the eviction letter after speaking to the Long Term Care Ombudsman for Sacramento.

During the investigation, LPAs provided technical assistance on daily documentation, incident reports, and house rules. LPAs obtained copies of R1's file, the house rules, and pictures of the facility for future reference.

Based on interviews, record review, and observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 6) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted, and a copy of the report was provided.