Follow-up on corrections·September 3, 2025

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to follow up on a complaint investigation. However, during the course of that complaint investigation, LPA Moleski discovered an unrelated deficiency. LPA Moleski met with facility administrator James Dial and explained the purpose of the visit. During the investigation of complaint #27-AS-20250617103041 , LPA Moleski interviewed Dial and a former resident's responsible party (R1's RP). Admission documents for R1 indicate that R1's RP was appointed R1's attorney-in-fact. R1 moved into this facility on 6/2/25 and moved out on 6/13/25. An allegation on complaint #27-AS-20250617103041 was that R1 was illegally evicted. This allegation was determined to be unsubstantiated. Based on interviews with staff, there was no formal notice to evict and no other written communication on the topic of R1's move-out, merely verbal conversations. During an interview, facility staff (S1) stated that R1 was provided with one-on-one caregivers through an outside agency in order to supervise R1 during certain hours prior to R1's move-out. Facility staff (S1 and S2) voiced concerns over R1's tendency to seek exits and continued attempts to elope. In an interview on 7/8/25, Dial said "we required [R1's RP] to get one-on-one" supervision. LPA Moleski asked specifically if R1's RP was "required" to acquire these third party services. Dial reaffirmed that R1's RP was required to do so. In an interview, R1's RP also stated that it was a "requirement" that one-on-one supervision be provided through a third-party prior to R1's departure from the facility. R1's RP said they paid "out of pocket" for these one-on-one caregivers for three or four nights. [continued on 809-C] Per 22 CCR Section 87468.1(a)(16), residents in all facilities have the right to "reject ... services." If additional care and supervision over a resident is necessary, facilities have the right to charge for additional in-house care costs per HSC Section 1569.657, but this requires an itemized bill and written notice at a minimum. Additionally, per 22 CCR Section 87464, care and supervision are basic services which must be provided by a licensed care facility to each resident. 22 CCR Section 87411(a) requires that staff be "sufficient in numbers ... necessary to meet resident needs." This facility is hereby cited per 22 CCR Section 87468.1(a)(16). An exit interview was held with Dial. Appeal rights and a copy of this report were left with Dial.