complaint·November 14, 2022

The investigation revealed that the facility's Regional Nurse (S3) conducted the pre-appraisal and went to the hospital for re-assessment. S3 stated that R1 is now high risk and will need a higher level of care and that the facility will not be able to meet the residents' needs. S3 has reported this to S1 who in turn called W1 (R1's responsible party) to advise that the facility will not be able to take R1 back to the facility due to her medical condition. S1 spoke to W2 on the phone while W1 was on a speakerphone and explained the situation. S1 told W1 and W2 that R1's medical condition would need a higher level of care and the facility will not be able to meet her needs, hence they are not accepting her back to the facility. S1 stated that she did not provide an eviction notice to the family or CCLD. S2-S6 stated that they have not heard and unaware of any illegal evictions of residents in the facility. All staff interviewed stated that they do not know if anyone was evicted illegally. R2-R5 stated that they never had any issues or problems coming back to the facility after hospitalization. R2-R5 indicated that they have not heard and did not know if any resident was evicted illegally. R2-4 stated that they were hospitalized before and they came back to the facility. LPA reviewed R1's documents and observed that S3 has noted the medical charting of R1 stating her current medical condition and her level of care and needs will not be met by the facility. Although the facility conducted the pre-appraisal.re-assessment of R1 at the hospital to find out if R1 can come back to the facility, the eviction procedure was not followed. S1 should have issued an eviction notice and sent to CCLD within 5 days of finding out that R1's medical condition has changed to a higher level of care. Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Administrative Assistant, William Woods along with the Appeals Rights.