complaint·September 24, 2025

LIC9099-C (Page 2) Allegation: Staff did not make resident's records available to their designated representative upon written consent Finding: Substantiated On 07/01/2025, Licensing Program Analyst (LPA) L. Alexander interviewed Witness (W1). W1 stated that on 06/04/2025, they submitted a request for R1’s file via fax. After allowing one week for acknowledgment, W1 followed up with the facility on 06/11/2025 by emailing the authorization and status request to Staff (S2) and leaving a voicemail message. W1 reported no response was received. W1 confirmed that R1 was a former resident of the facility. On 07/02/2025, LPA interviewed Staff (S1). S1 confirmed a faxed request was received but stated they were unsure which document W1 was referring to due to the volume of faxes. S1 stated that per facility policy, once a resident leaves the facility, S2 is responsible for reviewing and releasing records. LPA reviewed the following documents: Authorization to Handle Claim (05/29/2025), Authorization to Release Medical Documents (06/04/2025), Durable Power of Attorney for Financial Management (05/20/2023), Advance Health Care Directive (05/20/2023), Subpoena Request for Medical Records (06/04/2025), and the facility’s Policy for Release of Resident Records. Documentation verified that R1’s legally authorized representative was acting on R1’s behalf. On 09/14/2025, S1 confirmed the requested records had been sent. On 09/15/2025, LPA followed up with W1, who confirmed the records were received on 08/19/2025—approximately two months after the initial request. The preponderance of evidence demonstrates that the facility did not release records within a reasonable or timely manner. Therefore, the allegation is substantiated . LIC9099-C Continued... LIC9099 (Page 3) Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.