Complaint·August 15, 2025

Based on interviews and record reviews, it was revealed that R1 requested records on 4-24-2025 and 6-3-2025 which included physician reports, incident reports, care notes, admission agreement, itemized billing statements, licensing reports, and medical care related records. Based on interview and record review, it was determined that Licensee provided various records to R1 after requests, however, care notes were not released due to various other resident’s names and information attached as an inclusive internal record for staff to maintain. Investigation did not reveal evidence of physician reports and admission agreement sent to R1. Interview conducted revealed these documents were provided and available on admission, however, were requested by R1 after admission date. As a result, the preponderance of evidence standard is met, therefore, this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights and LIC 811 provided. Community Care Regulation (CCR) Section 87507(g)(3)(A) states in part: (g) Admission agreements shall specify the following: (3) Payment provisions including the following: (A) Rate for all basic services which the facility is required to provide in order to obtain and maintain a license. Additional interviews conducted did not reveal corroborated statements of additional residents being charged for services not rendered. An itemized bill furnished by facility indicating the services provided to R1 was reviewed. The investigation did not reveal evidence of said services not rendered. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. Allegation: Staff did not ensure the home is kept free of bed bugs. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was determined that a room and board facility located across the street from licensed facility had a bed bug occurrence approximately nine months prior to the Department’s receipt of this complaint on 6-2-2025. It was further revealed that this occurrence was treated by facility’s licensee. Additionally, it was revealed that staff who worked at the room and board also worked at the licensed facility, however, maintained quarters in areas not affected by the bed bugs. Interviews and observation conducted did not reveal any evidence of a bed bug occurrence at any time within licensed facility. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights and LIC 811 provided.