Complaint Investigation Report

In an interview, a facility manager (S1) admitted that the excluded person had been present in this facility. S1 said that this person was assisting with a transition after a recent change in ownership, and had been assisting with applying for the assisted living waiver program. S1 said they knew that the person was excluded and not allowed to be in any CDSS-licensed care facility.

The department has determined the following as it relates to the allegation that staff allowed an excluded individual to be present in the facility:

Based on interviews, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met.

This facility is hereby cited per 22 CCR Section 87355(e)(2) . Due to the presence of an excluded individual, an immediate civil penalty in the amount of $500 is hereby assessed. An exit interview was held with Serrano. Appeal rights and a copy of this report were left with Serrano.