Incident investigation·November 6, 2025

On 11/6/2025, Licensing Program Analyst (LPA) Murial Han conducted an announced case management visit to follow up on an incident that was reported by the facility. LPA met with administrator and explained the purpose of today's visit. On 10/13/2025, the facility reported an incident that happened on 10/9/2025 in which Resident #1 (R1)'s responsible party reported to the facility that a monthly rent cashier's check to the facility was deposited by an unknown person. R1's responsible party stated that the check was originally made out to the facility and mailed to the remit address for R1's monthly rent. However, it was altered in the process and the facility never got the payment. During today's visit, the administrator did not have any information as to how the name on the check was altered to an unknown person as the facility does not handle payments locally, all payments are mailed to the remit address for processing. In addition, the administrator does not recognize the unknown person's name on the check. This incident was reported to the Local Law Enforcement and R1's responsible party is currently working with the bank on this matter. LPA reviewed the LIC 500 and did not observe the unknown person's name. No deficient is cite today. This report is reviewed and discussed with the Assistant General Manager and a copy is provided.