Complaint Investigation Report

additional persons named in R1's admission forms and documents.

It was learned that this facility did not have an alternate person, or entity, to disburse the refund to upon R1's death so one was not given at this time.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated personnel at this time.