Complaint·March 27, 2025

LPA Moleski reviewed R1's file and observed an admission agreement which had been signed by R1's RP, dated 10/15/2017, shortly after a change of ownership took place at this facility. The department has determined the following as it relates to the allegations that facility staff are charging fees without an updated admissions agreement and that facility staff are not providing documents to a resident's attorney-in-fact, as required. Based on interviews and record review, the above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies were cited regarding the above allegations. An exit interview was held and a copy of this report was left with Nwangburuka . In an interview, Nwangburuka said that the text message was the only form of written notification sent to R1's RP, although she did have two phone conversations discussing the increase with R1's RP on 3/16/25 and 3/22/25, respectively. The text message sent to R1's RP did not include a detailed explanation of the charges, and did not include an itemized list of charges, as required per Health and Safety Code Section 1569.657(a). Additionally, the notice was not sent within two business days after providing services at the new level of care. LPA Moleski reviewed a hospice notification form, and observed that R1 was placed on hospice as of 2/14/25. LPA Moleski reviewed R1's file and observed an admission agreement which had been signed by R1's RP, dated 10/15/2017. The admission agreement identified R1's initial monthly rate as $3875. LPA Moleski asked Nwangburuka to provide written notices for previous increases from $3875 to the current rate of $5000. Nwangburuka was unable to immediately provide prior notices. LPA Moleski is requesting that Nwangburuka review her records and produce any and all prior written notices for any previous rate increases. Nwangburuka must also produce a formal written notice with all required information if she chooses to move forward with a rate increase due to R1's current level of care. The department has determined the following as it relates to the allegation that facility staff are not providing proper notice of rate increases: Based on interview and record review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. This facility is hereby cited per HSC Section 1569.657(a) . An exit interview was held with Nwangburuka . Appeal rights and a copy of this report were left with Nwangburuka.