Complaint·August 22, 2023

During record review of resident R2's 60-day eviction notice LPA and LPM did not observe exact statements "as specified in Health and Safety Code Section 1569.683(a)(4): "In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing." Based on LPA’s observations, interviews and record reviews, the preponderance of evidence standard has been met therefore the above allegation is found to be substantiated. Deficiencies cited under California Code of Regulations, Tittle 22 are being cited please see LIC 9099D. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Administrator Teresa Starks whose signature on this form confirm receipt of these documents.