Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted a Case Management- Deficiencies visit in conjunction with delivery of Amended report for the following complaint control #s: 22-AS-20211012143927 and 22-AS-20220829124546.

On today's date, LPA Quiroz arrived to the facility and was greeted, COVID-19 screened and met with Caregiver Kristine Guevarra. Caregiver Kristine Guevarra called Licensee/Administrator (L/AD) Uldarico Almiranez via telephone and LPA Quiroz discussed purpose of today's visit via telephone. (L/AD) Almiranez arrived during today's visit.

During the course of the investigation of Complaint Control #22-AS-20220829124546. the following deficiency was observed: California Code of Regulations (CCR)-87217 (d)(3): Safeguards for Resident Cash, Personal Property, and Valuables (d) Except as provided in approved continuing care agreements, no licensee or employee of a facility shall:(3)become substitute payee for any payments made to any persons.

During today's visit, LPA Quiroz reviewed hand written document dated 1/31/2022 indicating Resident 1 (R1) is handing over disability benefits to facility effective 10/2021. This was verified with L/AD Almiranez who indicated agreeing with the above.

Copy of CCR-87217: Safeguards for Resident Cash, Personal Property, and Valuables was printed and coy was provided to (L/AD) Almiranez.

Today's report was reviewed with (L/AD) Almiranez and a copy of this report, LIC 809-D, LIC 811- Confidential name and Appeal Rights were provided at exit.