Facility Evaluation Report

Licensing Program Analyst (LPA) Crystal Colvin and Licensing Program Manager (LPM) Joel Esquivel arrived at the facility unannounced for the purpose of delivering the findings of the Financial Investigation Audit Report for Resident 1 (R1). LPA Colvin and LPM Esquivel met with staff member Lisa Ferrell and advised them of the purpose of today's visit. Below is a summary of the findings of the Financial Audit:

This audit was conducted due possible financial abuse of R1 by prior Administrator/Staff (S1). It was determined that the previous Administrator (S1) assisted R1 with spending their stimulus money to make a few online purchases. The receipts provided to the facility from S1 were incomplete, and therefore, the new Administrator conducted a physical review of R1's property to confirm items reportedly purchased on behalf of R1. Some items were unable to be located, and therefore the Licensee agreed to pay R1 $364.67 for the unaccounted-for items/monies. Evidenced of reimbursement of R1 of the money owed was provided to Community Care Licensing (CCL) and confirmed. Deficiencies are being cited for the previous Administrator's lack of following Title 22 Regulations as well as incomplete records/receipts for expenditures made with R1's funds. Deficiencies cited .

It was additionally discovered through CCL's audit that the Licensee does not have any written policies or procedures in place and failed to make reasonable efforts to safeguard resident funds. The Licensee is ultimately accountable for all activities that occur in the facility as well as for the care and supervision of the residents. Deficiency cited.

LPA Colvin conducted an exit interview with staff Lisa Ferrell and provided a copy of this report, LIC809D, and appeal rights.