Complaint Investigation Report

Elite Manor, San Dimas05/02/2022Licence 197606565

Census6
Date signed05/02/2022 12:49:58 PM
Name of licensing program analystJewel Baptiste
Name of licensing program managerLisa Hicks
The inspector’s account

The investigation reveals the following: Regarding "Resident is not allowed visitors" it is alleged that the

facility is not allowing Resident #1(R1) visitation by Family Member (FM). During the visit LPA conducted

file review and found power of attorney dated 3/10/22 for managing real and personal Property for R1, 2/2 staff confirmed they were told not to allow FM to visit R1. Administrator confirmed denied visit due to FM not complying with R1’s POA visitation calendar. Administrator also confirmed that FM has followed facility visitation policy and they are unsure if there is a restraining order in place. Administrator stated R1 was not informed of FM visit on 4/30/22. Administrator confirmed FM was denied visitation prior to administrator knowledge of POA. Interview with R1 confirmed resident would like to visit with FM.

Based on LPA observation, interviews and file review, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulation, Title 22 are being cited on the attached LIC9099D.

Exit Interview Conducted with administrator/ Appeal Rights Provided / A Copy of the Report Issued.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction