Complaint·February 3, 2023

LPA interviewed administrator, Julian Manalo about the allegation. He stated that he issued an eviction notice to R1 for code of conduct violation for elder abuse under SOC 341 as well as other code of conduct violations. On 02/03/23 at 10:40am, LPA interviewed S2-S4 about the allegations and 3 of 3 confirmed that R1 was issued an eviction notice for code of conduct violations. On 02/03/23 at 11:00am-01:00pm, LPAs interviewed R2-R6, and 4 out of 5 all corroborated that R1 was issued an eviction notice. Based on interviews and record review the administrator failed to serve R1 with an eviction notice in accordance with tittle 22 regulations. Review of the eviction notice dated 12/30/22, revealed the following items were not included in the eviction notice: The eviction notice was missing resources and referrals for R1, and a statement regarding if R1 stays at the facility an unlawful retainer shall be filed. Also, a written copy of the eviction notice was not issued to Community Care Licensing within 5-days. Therefore the allegation is substantiated. Deficiencies cited under California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099D. Exit interview conducted and a copy of the report was given to the administrator, Julian Manalo. LPAs interviewed S1-S4 and 4 out of 4 denied the allegation that the staff retaliated against the resident while in care. LPA interviewed R1-R6 and 1 out of 6 confirmed that they were retaliated against. And 5 of 6 denied the allegation. LPA reviewed facility records and did not find evidence that the resident was retaliated against. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted and a copy of the report was given to the administrator, Julian Manalo.