Complaint·April 6, 2023

Additional records reviewed included email communication from Reporting Party, copies of 2 checks with one dated January 23, 2023 for the amount of $5000 made payable to Golden Flower Manor and a second check dated February 21, 2023 for the amount of $6000 made payable to Golden Flower Manor, and a letter dated February 24, 2023 from R1's spouse notifying the facility that a stop payment was placed on the check for $6000. The letter also notified the facility of R1's spouse's intent to relocate R1 without issuing a 30 day notice to vacate the facility. Based on the observations made by LPA Patricia Velazquez, interviews which were conducted and the records that were reviewed, although the allegation 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 following allegation: Staff yelled at a resident while in care is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Florica Gheorghe and a copy of this report along with the LIC 811 was provided at the time of this visit. Due to technical issues LPA Patricia Velazquez was not able to print the report at the time of this visit. Administrator Gheorghe agreed to receive the report via email. Additional records reviewed included email communication from Reporting Party, copies of 2 checks with one dated January 23, 2023 for the amount of $5000 made payable to Golden Flower Manor and a second check dated February 21, 2023 for the amount of $6000 made payable to Golden Flower Manor, and a letter dated February 24, 2023 from R1's spouse notifying the facility that a stop payment was placed on the check for $6000. The letter also notified the facility of R1's spouse intent to relocate R1 without issuing a 30 day notice to vacate the facility. Administrator Gheorghe stated they did not provide R1 or their Responsible Person written notice of the rate increase that included a detailed explanation of the additional services to be provided at the new level of care including an accompanying itemization of the charges pursuant to statute and regulation. Based on the observations made by LPA Patricia Velazquez, interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Staff have inadequate record keeping for a resident is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 and/or the Health and Safety Code is being cited on the attached LIC 9099D. An exit interview was conducted with Administrator Florica Gheorghe and a copy of this report along with the LIC 811 and appeal rights were provided at the time of this visit. Due to technical issues LPA Patricia Velazquez was not able to print the report at the time of this visit. Administrator Gheorghe agreed to receive the report via email.