complaint·March 4, 2026

(PAGE 2) Report continued from LIC 9099... During today's visit starting at 10:20 a.m. LPA and staff briefly toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, starting at 10:35 a.m. conducted two (2) telephonic interviews with the Parties Responsible (PR) for R1, at 11 a.m. conducted an in-person interview with the facility Administrator, at 1:20 p.m. conducted an in person interview with the facility Licensee representative and obtained copies of pertinent documentation relevant to the investigation. On the allegation, Licensee did not provide responsible party with a refund as required, it is the concern of the Reporting Party (RP) that R1’s PR did not receive the refund check within the required 15 days after the room was vacated. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation. File and Record review revealed that R1 moved into the facility on 09/18/2017, passed away on 11/08/2025, and moved out on the same day 11/08/2025. Administrative staff interviews revealed that R1 moved into the facility on 09/18/2017, passed away on 11/08/2025 and move out on the same date. To their knowledge the facility has a bookkeeper who handles all facility finances. To their knowledge R1 was paying $6,200 monthly for room and board and an additional $300 for incontinent supplies. There is an ongoing unrelated legal matter with the same family and to their knowledge it is the reason why the refund has not been issued. As of today, the refund has not been issued. Interview with the facility licensee representative revealed that there is an ongoing unrelated legal matter with the R1’s family. Due to the legal matter, they believe they should not have to pay the refund since they are still owed money by the family. Interviews with PR revealed that they have tried numerous times to get in contact with the facility owner, however, have been unsuccessful. They are aware of an unrelated matter with their family members, however, note that it is unrelated to R1 and their refund. Based on information gathered during the course of the investigation, and interviews there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Licensee did not provide responsible party with a refund as required is deemed SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.