complaint·February 23, 2021

The investigation revealed the following: Allegation: Staff restrained resident It is alleged on 9/4/2020 facility staff tied R1 down to a chair with a belt around the waist which was attached to the chair. On 10/05/2020 LPA Calderon interviewed S2-S3 who both confirm they witnessed R1 tied down to a chair. On 10/06/2020 S1 confirmed staff informed him that R1 had been tied down to a chair to prevent him from wandering. On 10/16/2020 reviewed medical records for R1, there is no doctor’s instruction to restrain R1. Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. A telephonic exit interview was conducted with Administrator Muqeet “MD” Daabhoy, and a hard copy was provided via email for records Allegation: Resident was not issued a refund It is alleged when R1 was admitted to the facility there was a verbal agreement with Administrator MD that total charges for all services would be $4000.00. R1 Responsible Party stated Administrator accepted $4000.00 for R1 services and a week later R1 son was charged an additional $1500.00 for services. RP states R1 was in facility for 1 month and she removed resident from facility. On 10/09/2020 received and reviewed cashed checks for $4000.00, $1500.00 and $1000.00 made payable to facility. On 10/06/2020 LPA Calderon interviewed Administrator MD who states he charged $5500.00 for private room and $1000.00 for other services and that the admission agreement “page 3” supports total charges of $6500.00. On 10/16/2020 LPA Calderon reviewed admission agreement for R1. Total charges for services total $5500.00 this are from page 4 of agreement. There is documentation to support charges of $6500.00. Administrator states page 3 of agreement part 7 “payment provisions” he claims processing fee of $500.00 and assessment fee of $500.00 were to be charged every month. Allegation: Resident was overcharged It is alleged on 9/4/2020 R1 Responsible Party had a verbal agreement with Administrator MD that total charges for all services would be $4000.00. R1 Responsible Party stated Administrator accepted $4000.00 for R1 services and a week later R1 son was charged an additional $1500.00 for services. RP states R1 was in facility for 1 month and she removed resident from facility. On 10/09/2020 received and reviewed cashed checks for $4000.00, $1500.00 and $1000.00 made payable to facility. On 10/06/2020 LPA Calderon interviewed Administrator MD who states he charged $5500.00 for private room and $1000.00 for other services and that the admission agreement “page 3” supports total charges of $6500.00. On 10/16/2020 LPA Calderon reviewed admission agreement for R1. Total charges for services total $5500.00 this are from page 4 of agreement. There is documentation to support charges of $6500.00. Administrator states page 3 of agreement part 7 “payment provisions” he claims processing fee of $500.00 and assessment fee of $500.00 were to be charged every month. 81507 (c) Any fee that is charged prior to or after admission, shall be clearly specified. Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be unsubstantiated. . A telephonic exit interview was conducted with Administrator Muqeet “MD” Daabhoy, and a hard copy was provided via email for records