Complaint Investigation Report

397003771-8-17-2022-27-AS-KHOS-CHLP98-20220824110643

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/30/2022 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20220630115330

Mary Margaret Chappell, Executive Director

Staff billed resident in excess of the agreed upon rates provided in the Admission Agreement.

On 08/17/2022 at 9:45am, LPA R. Campbell and Michael Bilger arrived unannounced to facility to continue the complaint investigation for the allegation noted above. During this investigation, LPA Campbell interviewed Administrator and complainant, and reviewed admission agreement and billing statements for resident1 (R1). Based on interviews and record reviews, it was determined that there was no intention to overbill. It was found that there was a misunderstanding of the facility's billing process and funds were returned. There is no evidence of an actual physical bill received. Funds have been returned as requested.

As a result, this allegation is UNSUBSTANTIATED. An exit interview was conducted with Mary Margaret Chappell and copy of this report was provided to Mary.