Complaint·April 8, 2025

Facility notified public administrator at the time of resident's hospitalization; facility notifies relevant agencies in the event of the death of the patient in hospital, including Community Care Licensing Division (CCLD), Social security Administration (SSA)and Care coordination Agencies (CCA) on 2/2/2021 within the reporting time requirement. However, Licensee failed to provide immediate written notice of resident’s death to the public administrator- responsible for the resident due to no known kin at the time. Therefore, based on record reviews, this allegation is deemed SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. A citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted where this report, LIC9099 and LIC 9099 D, Appeal Rights were discussed and provided to Facility Licensee/ administrator Amelia Aladin.