complaint·July 21, 2023

Continued from LIC9099 Review of R1’s Hospital Records indicated that R1’s belongings were removed from the facility prior to R1 being discharged from the Hospital on 03/27/2023. This allegation is Unsubstantiated. There is an allegation that Facility did not provide a copy of the Admissions Agreement to Resident Representative. LPA received conflicting information regarding R1’s Admissions Agreement. Review of R1's Admissions Agreement showed only one page available. Interview conducted with Facility Administrator stated that R1’s Representative did not return their signed Admissions Agreement for R1’s file. Interview conducted with R1’s Representative stated that they did not have the Admissions Agreement in their possession. Review of Title 22 Regulation - 87507 Admission Agreements (c) states “Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission…” Per Title 22 Regulation - 87507 Admission Agreements(c), Facility had 7 days to have R1’s Admissions Agreement signed following their admission to the Facility. Review of Documents showed that R1 was admitted to the hospital on 03/17/2023, three days after moving in. R1 did not return to the Facility and their belongings were removed and vacated from the facility on 03/22/2023. This allegation is Unsubstantiated . There is an allegation that Facility did not make reimbursement to Resident Representative. The Report received on 05/08/2023 states that the Facility did not reimburse R1’s Representative for the remainder of March 2023. Documents reviewed showed that the Facility owed fees for when R1 moved into the Facility on 03/14/2023 to when R1’s Responsible Party removed R1’s belongings from the Facility on 03/22/2023. Documents reviewed indicated that the refunds made to R1’s Representative were accurately calculated and were appropriate per Title 22 Regulations and the Health and Safety Code section 1569.652. This allegation is Unsubstantiated . A finding that a complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report discussed and LIC811 (Confidential Names) and provided to Administrator. Signature on form confirms receipt of documents.