Complaint Investigation Report

Observations during the visit revealed no signs of financial abuse by staff. Interviews with staff revealed that four (4) staff members denied the allegation, and seven (7) stated they do not handle client funds. Staff member (S1) stated that although (C1) does not have sufficient income to pay the full rent amount agreed upon, the Administrator has continued to provide care and is actively working with the client to secure additional financial support. Interviews with clients revealed that (10) clients denied the allegation, and (1) agreed. However, the concern raised by (C2) was not supported by documentation or evidence. Records reviewed included admission agreements for Clients (C1–C2), which reflected rates aligned with CDSS PIN 24-13-CCLD, effective January 1, 2025. A Social Security Administration letter confirmed that the facility is the representative payee for (C1) and documented the client’s monthly income, which is less than half of the agreed-upon rent. The LPA also reviewed (C1’s) cash safeguard records and PNI from 04/01/2025 to 11/20/2025, which included amounts received and withdrawn, all signed by the client with no discrepancies noted. Additionally, photocopies of checks from August through June show that (C1) has made consistent monthly payments toward rent, each matching the amount of their income, which is less than the monthly rent owed. While these payments do not cover the full rent, there is no evidence that the licensee is overcharging or financially exploiting the client. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff serve clients food of poor quality,” it was alleged that the food served is substandard and may have caused food poisoning. Observations revealed that the kitchen was clean, sanitary, and organized. Food items observed were well-prepared, not expired, and there was a sufficient supply, with weekly deliveries documented. Interviews with seven (7) staff members denied the allegation, while four (4) were unsure. The lead cook stated that a variety of meals are freshly prepared and they cook a variety of foods. Interviews with ten (10) clients revealed they disagreed with the allegation, and one (1) agreed. No clients reported current symptoms of illness during the visit. Records reviewed included documentation of a nutrition and dehydration training conducted by a licensed nurse dated September 2025. Based on the allegation although it may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff do not ensure resident safety,” it was alleged that staff are not ensuring clients are safe at the facility.

Please see LIC9099-C for report continuation.