Facility Evaluation Report

Licensing Program Analyst (LPA) Crystal Colvin arrived at the Licensee's corporate office in order to investigate an open complaint (#18-AS-20210223131024). During LPA Colvin's investigation of the complaint, LPA Colvin observed some additional deficiencies. LPA Colvin met with Facility Representative and Chief Financial Officer (CFO) Denise Arellano. LPA Colvin advised Denise of the purpose of the visit.

During LPA Colvin's investigation of a complaint (#18-AS-20210223131024), LPA Colvin learned that the facility has all residents' funds combined in one bank account. LPA Colvin informed CFO Denise Arellano that resident funds must be kept separate as to ensure accurate accounting and safety of each residents' money. Deficiency cited. LPA Colvin additionally inquired as to if the corporation has a Surety Bond specific to the facility, as LPA Colvin observed prior to coming out to the location that there was none on file at Community Care Licensing (CCL) office. CFO Denise informed LPA Colvin that the corporation has Crime Policy, which is required for their liability insurance. LPA Colvin asked if this was specific to the facility or if this covered all of the Licensee's contracts. COO Melinda Drake, who was present for part of today's visit, stated that it covers all contracts for the License. LPA Colvin discussed the problem presented with this with CFO Denise, and inquired that if something catastrophic happened to all of the Licensee's contract, would this policy be enough to still protect the resident funds at Roy's. LPA Colvin was advised that it would not. Deficiency cited.

Lastly, LPA Colvin observed that CCL has on file for the facility's Program Plan that the facility planned on not handling any resident money. It was confirmed that this was a misunderstanding of the document (LIC400) as well as issues presented with the residents when their monthly funds from SSI were being managed elsewhere, and the facility ended up agreeing to manage their funds. All major facility program changes are to be reported to CCL in the form of either an updated Program Plan or amendment. Deficiency cited. Due to observations made by LPA Colvin, the facility was cited, and deficiencies noted on the LIC809D.