complaint·October 28, 2025

Allegation #2: The Resident's billing statement does not clearly state charges. The complaint alleged that the financial statements provided to the residents' responsible party were inaccurate. On October 27, 2025, from approximately 10:00 AM to 12:30 PM, LPA Richard interviewed the Assistant Executive Director (AED). The AED denied the allegations and explained that when the administration increased a resident's care level, the facility was required to conduct a new pre-appraisal to assess the resident's care needs. The AED also noted that the issue with the R1 billing statement was related to the previous administration and that the facility had corrected the problem. Additionally, the AED pointed out that the facility's admission agreement stated that rates would increase annually and that the responsible party would be notified in writing of any increase two months prior. During the same time period, LPA interviewed four staff members (S1-S4), all of whom denied the allegations. Later on, on October 27, 2025, from approximately 1:30 PM to 2:30 PM, LPA interviewed five residents (R2-R6). Three out of the five residents denied the allegations, stating that their representative would receive a letter regarding the matter. On October 23, 2025, LPA interviewed R1's responsible party, who confirmed that, following the new administration's takeover, they had refunded all charges. LPA's review of the R1 billing statement, dated January 31, 2023, indicated that the responsible party received a credit for the discrepancy. Unfortunately, LPA was unable to interview R1, as R1 passed away in December 2023. Report Continued on LIC9099C Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated . Allegation #3: Staff are not providing services as agreed upon in the resident’s admission agreement. The complaint alleged that the resident relied on the services of a beauty shop on the premises, which was listed as a service in the admission agreement. The new administration terminated the beauty shop's services. On 10/27/2025, between approximately 10:00 AM and 12:30 PM, the LPA Richard interviewed the AED, who denied the allegations and stated that the facility has a beautician who comes every Wednesday to provide beauty services to residents. Furthermore, the LPA interviewed four staff members (S1-S4), who denied the allegation and said that the facility has a beautician who visits to assist residents with haircuts, nails, Shampoo, and other needs. On 10/27/2025, between approximately 1:30 PM and 2:30 PM, the LPA interviewed five residents. All five residents (R2-R6) denied the allegations and stated that a beautician visits them and helps them with their beauty needs. They also felt it was a good idea for the beauticians to come to their rooms to meet their needs. On 10/27/2025, the LPA reviewed the beautician's schedule, including services provided to residents upon request, and documented the dates and times of these services since 2024. Unfortunately, LPA was unable to interview R1, as R1 passed away in December 2023. Report Continued on LIC9099C Based on the LPA observations, interviews, and record reviews, the Preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. No deficiency cited. An exit interview was conducted. A copy of the report was provided to the Assistant Executive Director Anna Martinez.