Complaint·April 25, 2025

Resident Functional Need Assessment Document signed February 6, 2023, collected from R1’s file, shows R1’s signature along with the words “under duress” on the documents signature line. Interview with an outside source confirmed that R1 communicated being forced to sign document R1 did not agree with. Interview with Executive Director revealed they were unaware of this incident and S1 is no longer present at the facility. Based on interviews, and records reviewed, a preponderance of evidence exists to support the allegations. Deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Executive Director Julia Lopez, to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to. It was also alleged that R1 was issued an unlawful eviction. Records collected established that R1 was issued an eviction notice for a past due balance. R1 stated that they were aware of the balance due and had not issued payment. Outside source established that R1 was past due on balance due to increase in care needs. Lastly, it was alleged that R1 was not properly reassessed by licensee. Records collected revealed that R1 had a change in condition in January of 2023, which resulted in multiple falls and increased hospital visits. Interviews with staff revealed that R1’s health was declining and needed more assistance, therefore a new care plan was created. Interview with R1 established that R1 was reassessed using information from medical providers. Interview with Executive Director revealed that using medical information and interviewing medical providers is a standard practice for reassessments. Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive Director Julia Lopez, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.