Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit pertaining to complaint control number (56-AS-20250708095846). LPA met with Administrator Ariel Angeles and explained the purpose of the visit. LPA Rico conducted staff interviews, resident interviews, and reviewed documents.

During the complaint investigation, S1 informed LPA that they went to R1’s bank to withdraw one thousand dollars cash with R1's debit card. S1 also admitted that R1 was not present. During the resident interview, R1 informed LPA that one thousand dollars was withdrawn from their bank account without their approval, they also indicated they were not present. Based on record review, LPA observed that an amount of one thousand dollars was removed from R1’s bank account. Furthermore, LPA Rico reviewed R1 physician report which indicated R1 is unable to manage their own cash resources. A deficiency will be issued.

In addition, the facility did not have residents' cash resources maintained as a drawing account which would include ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. A deficiency will be issued. It was also revealed the facility did not have a surety bond. The Administrator also confirmed they did not have a surety bond. A deficiency will be issued.

Based on the information gathered today’s visit three (3) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Administrator Ariel Angeles. Along with a copy of appeal rights.