complaint·March 21, 2022

Continued from LIC 9099 According to interviews with responsible parties (RP 1 and RP2), there was verbal discussion regarding Resident 1's behaviors, medical appointments, and eviction notice since late October and early November of 2021. However, RP1 stated an eviction noticed was not received until late December/early January. RP1 stated it was a surprise when Administrator Merly informed RP1 of the discharge date of 02/02/2022 because there was no clear conversation about the eviction. RP2 stated a copy of the notice was sent by RP1 to RP2 in early January 2022. RP2 stated RP1 was aware of the eviction and understood there was a time frame. According to an interview with R1, R1 does not recall receiving an eviction notice or had conversations with staff about leaving the facility in February. According to records review, the eviction notice was not signed by responsible parties or resident. Discharge documents were signed by RP1 and R1 on 02/02/2022. Discharge Documents were signed on 02/05/2022 by RP1 for R1's belongings. According to records review and interviews, the administrator did not inform the payee of the discharge date and address change. A check was sent to Administrator Merly for February 2022 rent. Administrator Merly stated she sent the check back to the payee because of the discharge of R1. Based on all the information collected by the Department there is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. TA was provided due to eviction notices not being signed by RP1 and R1 and the payee not being notified of eviction. Exit interview was held and a copy of report was given to Administrator Merly