complaint·October 27, 2022

Allegation: Staff is overcharging resident while in care. It is alleged that resident (R1) was overcharged monthly rent fees after moving from sister facility "California Mission Inn #198603161" located in the same property campus. The resident moved in to the sister facility on 10/29/2019. R1 required more assistance and was charged an additional $1,600 in care level fees. Per "Basic Provisions -Resident Admission Agreement" Schedule A, the basic room and board rate total was $2,400, with an additional $1,600 rate fee for level 5 care fees; totaling $4,000 per month. On 2/29/2020, resident (R1) moved in to this facility and was no longer provided care assistance. Therefore, R1 was no longer supposed to pay $1,600 in care fees. The new monthly rent fee was $2,400, effective 2/29/2020. However, the facility continued to charge R1 care fees and the resident paid $4,180 (March 2020) and $4,000 (April 2020), but should have only paid the basic monthly fee of $2,400. Per document review, the resident's Admission Agreement was not amended to reflect the facility move or rate fee changes. Former Administrator Laura Waters, stated she spoke to the resident and was going to review the file to determine if there was a discrepancy in rent charges. However, rent fee clarification was never provided. Staff interviews confirmed that when the resident moved to this facility it no longer received care assistance, and the care fees would not be applicable. Per PCC Point Clique Care System Transaction Report it was confirmed that the resident was overcharged. Resident (R1) moved out of the facility on 6/1/2020. The total refund amount due to resident (R1) is $3,306.80. Based on record review, and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8, Article 05. An exit interview was conducted with Wellness Director Ruby Magao. A copy of the report an appeal rights were provided.