Senior Care Records.

Complaint Investigation Report

G.l.o.m. A.r.f. 6, Lodi03/02/2022Licence 392700752

Date signed03/02/2022 03:10:11 PM
The inspector’s account

392700752-3-2-2022-27-AS-LKIG-CCATES-20220307134026

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

12/01/2021 and conducted by Evaluator Liza King

COMPLAINT CONTROL NUMBER: 27-AS-20211201131833

Licensing Program Manager (LPM) Liza King met with Licensee Representative Lisa Evans via Microsoft Teams to deliver complaint findings regarding the allegations noted.

The initial 10-day visit was conducted on 12/6/2021. During the course of the investigation, 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. An exit interview was conducted with representative Linda Evans via telephone and a copy of this report along with appeal right was provided via email and an electronic email read receipt confirms receiving these documents.

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