Complaint Investigation Report

435202818-8-26-2024-26-AS-KHOS-D8RGFG-20240903051819

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRAL COAST CR/RES , 2580 N. FIRST STREET, STE. 350

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

09/23/2022 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 26-AS-20220923105257

Facility did not adhere to the residents admission agreement

On 8/26/2024, Licensing Program Analysts (LPAs) Grace Donato & Christine Dolores conducted an unannounced complaint investigation visit. LPA met with Executive Director Kippie Castronovo and explained the purpose of today's visit.

Regarding the allegation of facility did not adhere to the residents admission agreement, Reporting Party (RP) stated that facility proposed a certain fee and once they paid for all the moving they gave a revised assessment that increased the fees.

Based on records review, the resident (R1s) moved in the facility on 1/24/2019, based on the admission agreement. On 1/28/2019, R1 was given an intitial assessment and was charged a new rate. The assessment rate has changed and is different from what was agreed upon move in. The fee for care services is at $3,179, however on the assessment on 1/28/2019 it changed to $4,148, which had become effective on 2/1/2019.

Therefore, based on interviews and records review and information collected, the above allegation is

determined to be SUBSTANTIATED. Deficiencies of the California Code of Regulations, Title, 22

cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.

A copy of this report and the Appeal Rights are provided.