complaint·October 27, 2025

The investigation consisted of the following: On 06/11/25, LPA Gonzalez requested and reviewed the following documents: staff roster, resident roster, Face Sheet, Physician's Report, Residence and Services Agreement, Amendment to Residence and Service Agreement for Change in Residence, Rent Increase notices dated: 01/10/20, 01/27/21, 01/15/22, 01/30/23, and 01/30/24, service rate notices dated: 08/07/21, 10/28/22, 10/30/23, and letters of conservatorship for resident #1 (R1). Additionally, LPA conducted interviews with staff #1-#2 (S1-S2) and attempted to interview witness #1 (W1). On 08/22/25, LPA Gonzalez received the following documents: Rent Increase letters dated: 01/10/20, 01/27/21, 01/15/22, 01/30/23, 01/30/24, and 01/28/25, Support Fee Increase letters dated: 08/27/21, 08/28/22, 10/30/23, 10/25/24, and Residence and Service Agreement. Additionally, LPA conducted interviews with staff #3 (S3), W1, residents #2-#9 (R2-R9), and attempted to interview R1. The investigation revealed the following: A llegation: Staff did not abide to the admission agreement. It is being alleged that a resident and/or representative never received a 60-day notice for enhanced personal care charges. It is also being alleged that the resident and/or representative never received a 60-day notice for rent increases. On 06/11/25 LPA conducted interviews with S1-S2, and on 08/22/25, LPA conducted an interview with S3. Of those interviewed, 3 out of 3 staff denied the allegation. 3 out of 3 staff stated that residents and/or representative are notified 60 days in advance regarding rent increases. 3 out 3 staff stated that residents and/or representative are notified in advance regarding any service charge increase. On 08/22/25, LPA conducted interviews with R2-R9. LPA attempted to interview R1 but was unable to due to R1’s diagnosis. Of those interviewed, 8 out of 8 residents could not corroborate with the allegation. 5 out of 8 residents stated that staff went over the Admission Agreement with their representative and a copy was provided prior to moving in, and 1 out of 8 residents stated that staff went over the Admission Agreement with them and a copy was provided prior to moving in, and 2 out of 8 residents said they did not know if staff went over the Admission Agreement with them or their representative and if a copy was provided prior to moving in. 3 out of 8 residents stated that the facility notifies their representative in advance regarding any rent increases, and service charge increases, 1 out of 8 residents stated that the facility notifies them in advance regarding any rent increases, and service charge increases, and 4 out of 8 residents said they did not know if the facility notifies them in advance regarding any rent increases, and service charge increases. Continued on LIC9099-C 8 out of 8 residents stated that they are receiving the services they are being charged for. 8 out of 8 residents stated that they are satisfied with the services being provided to them. On 08/22/25, LPA conducted an interview with W1, and they indicated that the facility provides them with rent increase letters, and support fee increase letters in a timely manner, and at least 60-days in advance. On 08/22/25, LPA Gonzalez conducted a review of records. LPA reviewed the Residence and Service Agreement dated 03/01/15, and it states that the facility may change any other fee described within the agreement upon sixty (60) days prior written notice to the resident and/or representative at any time during the term of the agreement. In the event of a rate increase, the facility will include with the notice of the increase the reasons for the increase and a general description of the additional costs that the facility has incurred. LPA reviewed Rent Increase letters dated: 01/10/20, 01/27/21, 01/15/22, 01/30/23, 01/30/24, and 01/28/25 and observed that all letters were mailed to R1’s current and past representatives at least 60 days prior to when the rent increase took effect. LPA reviewed Support Fee Increase letters dated: 08/27/21, 08/28/22, 10/30/23, 10/25/24 and observed that all letters were mailed to R1’s current and past representatives at least 60 days prior to when the support fee increase took effect. Based on record review, and interviews conducted, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is unsubstantiated. No deficiencies were cited during this investigation. An exit interview was conducted, and a copy of this report was provided to Ralph Balbin, Administrator.