Complaint·July 1, 2022

It was alleged facility did not provide resident a copy of Admission Agreement. However, based on the signed admission agreement, it was indicated a copy was given to the resident or resident's responsible party. S1 stated responsible party was provided another copy of Admission Agreement on 5/4/2022, LPAs were unable to determine if resident was provided a copy upon admission. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided. An email communication between facility and resident's responsible party indicates a total of $4,862 is owed to R1. However, R1's husband (R2)'s balance of $2,126 and a $500 property damage were deducted from the total amount. Facility was not aware that the funds should not have been commingled, therefore a refund of $2,236 was issued to R1. Based on LPAs record review and interview, the preponderance of evidence standard has been met, therefore the above allegation 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 with Administrator. Appeal Rights and a copy of this report provided.