Senior Care Records.

Complaint Investigation Report

G.l.o.m. A.r.f. 5, Lodi05/09/2022Licence 392700628

Census14
Date signed05/09/2022 03:50:46 PM
The inspector’s account

392700628-5-9-2022-27-AS-LKIG-CEQSGA-20220524135138

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/21/2022 and conducted by Evaluator Treana White

COMPLAINT CONTROL NUMBER: 27-AS-20220321110555

On 05/09/2022 at 2:35pm, Licensing Program Analyst (LPA) T. White arrived unannounced to open and investigate the complaint allegation noted above. LPA met with Administrator, Jessica Owens and explained the purpose of the visit.

During the course of the investigation on 03/02/2022, the Department conducted a solvency audit and conducted interviews. The audit conducted by the department found that the licensee does not generate sufficient income to meet its current financial obligations; the licensee does not maintain sufficient cash reserves to ensure provisions of care and supervision to clients; the licensee did not pay leases timely and the licensee incurred a Federal tax lien totaling $260,000.

Based on information provided through documentation and interviews, the allegation that the facility is having financial issues is SUBSTANTIATED. A substantiated finding means that there is a preponderance of evidence to prove that the allegation occurred as alleged. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies were cited on previous complaint #27-AS-20211201131243.

An exit interview conducted with Administrator. A copy of report and Appeal rights given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction