complaint·November 6, 2025

The investigation revealed the following: Allegation- Staff did not abide by the admission agreement. The details of the complaint alleged that the facility did not notify the residents responsible party about a rate increase. As a result, they were issued a 30-Day Termination Notice for non-payment of outstanding fees. On 11/6/2025, from 9:30am-2:00pm, the department interviewed staff (S1-S3) and resident (R1) regarding the allegation. 3 of 3 staff denied the allegation that Staff did not abide by the admission agreement. All staff stated that the facility does abide by what is written in the admission agreement. However, 2 of 3 staff stated that they were not sure if the residents (R1s) responsible party was notified about the rate increase. Whereas another member of staff stated that the responsible party was not notified because they were listed as a contact only. Staff stated that they told the resident (R1) about the increase and issued a notice of the rate increase on 12/30/2024 and gave it to the resident. The department interviewed resident (R1) about the allegation and the resident stated that they had no knowledge of the increase until a month ago. The resident also stated that they do not remember getting a notice or signing for it. The department reviewed the Physician’s Report (Dated: 04/27/2024, 06/17/2020), Admission Agreement (Dated: 06/29/2020, 07/28/2023, 06/02/2025), Notice of Rent Increase Unsigned (Dated: 12/30/2024), Financial Power of Attorney (Dated: 03/07/2024), and the 30-Day Termination Notice (Dated: 10/30/2025). The department observed in the admission agreement dated and signed on 06/20/2025, that the legally responsible person for R1 was the residents responsible party noted in the Power of Attorney documents and other facility documents. The department observed on page 51 of the admission agreement entitled “Financial Status” that the legally responsible person was the same person that has power of attorney of R1. Additionally, the department observed that on page 72 of the admission agreement entitled “Resident Financial/Responsibility Form” the same name appears as well. The department also reviewed the Physician’s Report (Dated: 04/27/2024) that states R1 is not able to handle their own cash resources due to their primary diagnosis. As a result of this diagnosis the responsible party or legally responsible person that signed the admission agreement should have been notified 90 days prior to the rent increase. Report Continued on LIC9099-C Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation Staff did not abide by the admission agreement, is found to be Substantiated . Health and Safety Code 1569.655(a), Chapter (03.2) Residential Care Facilities for the Elderly are being cited on the attached LIC 9099D. Deficiencies were issued and plans of corrections were discussed. Note: *Citations that are not cleared by the due date of 11/14/25 will have a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. Deficiency was cleared at the time of the visit. An exit interview was conducted with Don McDonald, Executive Director, and a hard copy of this Complaint Investigation Report was provided.