complaint·October 3, 2025

Interview with R1 revealed that for a period of time their social security income was frozen and their rent went unpaid. The facility became their representative payee and since October of 2024 R1 had not received any of their P and I funds. Interview with (2) facility staff including the licensee, revealed that R1 owed the facility rent and when they became the payee for R1 they applied R1’s P and I to the owed rental amount. Record review of form “Advanced Notice of Representative Payment” revealed the facility was appointed as R1’s payee by the Social Security Administration and was signed by R1 since October 2024. The audit revealed that from October 2024 to July of 2025 the facility had applied R1’s P and I to R1’s owed rent in the amount of $2,076.00. As of 07/25/2025, interviews with (2) staff including the licensee, LIC405 Record of Resident's Safeguard Cash Resources revealed that the owed rent for R1 was recovered and R1’s account was current. R1 confirmed they were paid $500.00 on 07/25/2025. It was determined the facility owes R1 this total amount. Based on record review and interview the allegation that the facility overcharged the resident is substantiated, the preponderance of the evidence standard has been met. It was determined that the facility owes R1 $1,576.00. Per California Code of Regulations Title 22, a deficiency was cited and a plan of correction was created. An exit interview was conducted where this report and appeal rights were reviewed and provided.