complaint·December 8, 2021

LPA was in the home from 1030-1200 and only one staff was present and they were caring for residents, was attempting to prepare food for lunch, and was assisting LPA with the visit. A second staff arrived around 1200. Staffing schedule provided to LPA by Licensee Sandy Zao indicates that there would be one caregiver/housekeeper and one House Manager will be present Monday through Friday 0700 through 1900. LPA observed that this is not always the case although it has been determined through the scheduling that two (2) staff are to be present. Based on the aforementioned, we have substantiated the complaint allegation as valid and that a violation has occurred based on the preponderance of available evidence. A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative. Please see LIC 9099D. R1's admission agreement signed 09/01/2019 discloses a refund condition and it reads in the second paragraph in the Refund Conditions policy, " Fees paid in advance will be refunded within 15 days of the removal of a deceased residents belongings." The Refund conditions do not indicate that daily charges will accrue for the days the items are left at the facility, as in this case are glasses, bible book, rosary, and a radio. R1's responsible party was provided a refund for the remaining days of the month of September 2021 that fell after the 28th. This refund falls in line with the admission agreement and technically does not violate any portion of Title 22, Division 6 of the California Code of Regulations.