complaint·March 21, 2023

Regarding the allegation "Staff retaliate against individuals who cooperates with compliant investigations" it was alleged that the facility staff will intimidate residents to not complain and deny incidents in the facility. (5) of (5) Staff interviewed denied the allegation. (4) of (5) Residents interviewed could not corroborate the allegation. Interviews with residents do not show that staff intimidate residents in any way. LPA was not provided with specific example of how staff intimidate the residents of the facility. All staff interviewed denied that they would intimidate residents or tell them to not complain or keep quiet about incidents in the facility. Interviews with staff state that they encourage residents to speak out in regards to any problems they are having in the facility. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview held and a copy of the report was provided (5) of (5) Staff interviewed denied the allegation. (4) of (5) Residents interviewed could not corroborate the allegation. Interviews showed that R1 received a rate increase for level of care after being provided a 60 day notice from the facility. Interviews also stated that R1 continues to pay the monthly amount before the increase to the facility took place even though they were provided the 60 day notice. The account files for R1 reviewed show that the increase was applied 2 months after the notice was provided. The documents do show the change in total amount due by R1 monthly and what the accurate current balance is. In the account file reviewed, there is a charge of $7.40 applied on 8/31/21 and $203.23 applied on 10/20/21. These charges are identified only as "care charges" or "ancillary charges". Interviews could not detail the reason for these charges which are separate from level of care and room and board charges. Interviews stated it is the Business Manager who manages the account files and will log and file the receipts for the charges on any residents account; however, the facility files did not have receipts of documentation as to what these charges are for at the time of the visit. S6 was the Business Manager at the time and no longer works in the facility. Based on interviews and files reviewed, the facility did fail to maintain accurate accounting records for R1's file due to not having accurate documentation of certain charges made to R1 as stated above. The preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 are being cited on the attached LIC 9099D. Exit interview held and a copy of the report and appeal rights was discussed and provided.