Complaint·May 24, 2022

Licensing Program Analyst Michelle Reed arrived at the facility to deliver findings of this complaint investigation. Upon arrival, LPA met with Staff Jason "J" Flake and Pouya "Paul" Ghorbanpour. Licensee Tin Le was contacted via telephone. He stated that he was at an appointment and Administrator Chi Luu was out of town. Mary Jean Alvarado was contacted by Mr. Le and he stated that she would sign the report upon his behalf. Ms. Alvarado arrived at approximately 1:45pm. The investigation consisted of interviews with Administrator Chi Luu, staff and witnesses as well as documentation. The following was determined: R1 was evicted from the facility on 3/9/22 and moved to an RCFE in Garden Grove. The Licensee and Administrator did not give Resident #1 or her responsible party a 30 day written notice. According to Administrator Chi Luu a verbal notice was given to R1's responsible party. Based upon interviews, the preponderance of evidence standard has been met and the above allegation is substantiated. See attached LIC9099D for cited deficiencies per California Code of Regulations, (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report and appeal rights were provided to Mary Jean Alvarado. A copy of this report will be also be mailed to the Licensee.