Complaint Investigation Report

507004929-7-13-2023-27-AS-KHOS-CU5N8U-20230727101456

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

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

06/16/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230616122253

Licensee refused to refund rent paid in advance by resident.

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to deliver findings for the complaint for the above allegations. LPA was greeted by licensee and explained the reason for the visit.

Allegation 1 Licensee refused to refund rent paid in advance by resident. Based on review of the admissions agreement and interviews witth R1 and the ombudsmen the allegation is SUBSTANTIATED. The admisionns agreement is missing required information by regulation making the agreement void. The preponderance of evidence standard for this allegation is met, therefore, this allegation is SUBSTANTIATED.

Exit interview conducted. Copy of report given.