Complaint Investigation Report

547200844-11-25-2025-24-AS-SMOA-DNXN5P-20251201090951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

11/07/2025 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20251107111324

resident services director Brittney Polman

Staff did not provide resident with a refund

On 11/24/2025, Licensing Program Analyst (LPA) Gorban arrived unannounced to conduct an initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with resident services director Brittney Pullman.

During the course of the investigation, interviews were conducted, and records were reviewed. Interview and records reviews revealed R1 monthly service fees $1395.00. In Septemebr this year resident was notified of new monthly service fees for the same service will be $1100.00 which does not start until January 1st of 2026. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

An exit interview was conducted, report signed and a copy of this report was provided to resident services director Brittney Polman for facility records.