Complaint Investigation Report

Review of client records revealed that staff log each client’s personal and incidental (P&I) monies using the Department provided LIC405 Clients/Residents Safeguarded Cash Resources Log. Review of each client’s LIC405 revealed that the documents are kept updated and staff document each withdrawal and deposit request in separate entries. Each entry includes the date of the withdrawal or deposit, description of what the monies will be used for, the amount, the total remaining balance, and signatures by both staff and clients. Interviews with staff and clients revealed that clients would request cash from their P&I monies and staff would give the clients the requested amount and document the transaction on that specific client’s LIC405. Review of the LIC405s did not reveal any entries that were not signed by staff and clients and a review and count of each clients’ P&I monies with the Administrator during the visit did not reveal any discrepancies.

Interviews with staff revealed that clients make a majority of their purchases while supervised by staff during outings or while at the day program, however, there are a few clients who are able to access the community independently and can make purchases independently. Interviews with staff also revealed that clients will usually keep the receipt from the store and any change left over from purchases in the client’s possession. Interviews with staff revealed that most clients are able to understand the value of money, identify prices, and determine required change independently, however, two clients require staff assistance to purchase items. Interviews with staff and LPA observations revealed that the facility has a folder for each client that contains store receipts from purchases, however, clients do not always place receipts into the folder after making purchases. Review of the folder containing client receipts revealed that two of the clients are more likely to provide staff with store receipts following purchases, but the remaining clients will keep their receipts in their possession. While the facility did not have a store receipt from each client's purchase, the facility did maintain accurate records of withdrawals and deposits of each clients’ P&I monies using individual LIC405s, with required signatures acknowledging the transaction by facility staff and clients.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated.

An exit interview was conducted with House Manager Ramily Hernandez, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

This is an amended version of the original report dated 7/2/2024.