Complaint·December 16, 2021

discharge. The administrator refused to accept R1 back into the facility, indicating that R1 was too hard to manage and too loud for the other residents. After back and forth exchanges between hospital staff and facility staff, R1 was admitted into the hospital because of the administrator’s and staff's refusal to accept the resident back into the home. During the course of the investigation, interviews and records reviewed revealed that on December 3, 2021, around midday, R1 was transported to the hospital on a 5150 following a behavioral outburst. Approximately six hours later, the facility’s administrator was called and notified that R1 had been cleared by medical and psychiatric staff to return to the facility. The administrator expressed that he would not accept R1 back into the facility at that time. The administrator was called by hospital personnel again around 8:55 PM and 9:25 PM, advising that R1 was ready to be discharged and transportation had been arranged to return R1 to the home. The administrator notified the hospital that he'd found another hospital to assess the resident and possibly admit R1; however, there was no confirmation that the psychiatric hospital would accept or provide a bed for the resident. At approximately 10:00 PM, the administrator received a call from hospital staff, again informing that R1 was cleared and ready to return to the facility. Due to the administrator’s continued refusal to accept R1 back into the home, the doctor decided to admit the resident into the hospital because there was no safe place for R1 to go at that time. On December 6, 2021, 3 days after being notified that the resident was cleared and ready for discharge from the hospital, after consultation with LPA and staff of San Diego Regional Center, Administrator agreed to accept R1 back into the home. Based on the lack of issuance of a formal, written eviction notice and the administrator’s refusal, for 3 days, to accept R1 into the home, after being repeatedly notified that the resident was cleared and ready to be discharged to the home, the allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and noted on the attached LIC 9099-D. An exit interview was conducted with Paulo Ordinanza, Administrator. Following the visit, the administrator will be provided a copy of this report and Licensee Appeal Rights, via electronic mail. An electronic receipt of confirmation was requested to be sent to LPA upon receipt of the documents.