Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced Case Management–Incident visit to follow up on the Self-Reported Report of Suspected Dependent Adult/Elder Abuse (SOC 341) and the Unusual Incident Report (LIC 624) received by Community Care Licensing (CCL) on June 9, 2026.LPA arrived at the facility, was greeted by the receptionist, and met with the Executive Director. The purpose of the visit was explained.According to the reports received, Staff #1 (S1) allegedly financially abused Resident #1 (R1). It was reported that on June 4, 2026, R1 wrote a check payable to S1 in the amount of twenty dollars ($20.00) as a tip. It was further reported that S1 altered the check amount from twenty dollars ($20.00) to two hundred dollars ($200.00).Upon becoming aware of the incident, the Executive Director initiated an internal investigation on June 10,2026. As a result of the investigation, S1 was immediately suspended from employment and subsequently resigned on June 10,2026. During today's visit, LPA requested and obtained copies of pertinent records, including, but not limited to, the resident roster, S1's personnel file, and R1's resident file.At this time, LPA is unable to conclude the investigation. Additional information and documentation are needed before a final determination can be made. Executive Director was advised and a copy of this report given.