Facility Evaluation Report

A virtual informal office meeting was conducted today with CCL ASCP Regional Offices including Sacramento South, Sacramento North and Fresno via Microsoft Teams.

Present at the meeting were Regional Managers (RM) Brenda White and Alycia Berryman, Licensing Program Managers See Moua, Liza King, Sergiy Pidgimy and Maribeth Senty, Licensing Program Analysts Maja Jensen, Kerry Hiratsku, Mary Garza and Lady Cabrera, Supervising Auditor Jacqueline Juarez and Auditor Diana Chapman.

Licensee Representative for Everwell Facilities included: Dr. Christopher Zubiate, Madison Fetyko and Tina Perez

This meeting is a result of the solvency audit stemming from a complaint(s) received:

As a result of the audit as well as based on interviews conducted and records reviewed during the investigation of Complaint Number 27-AS-20210119094215, it was determined that the facility did not maintain receipts for cash deposits received for C1. A review of the online Amazon purchases for C1 was conducted. Receipts for purchases in the amounts of $60.30 and $14.28 were verified for Amazon online purchases and were not included on C1’s ledger. In addition, a rent refund check for $503.20 was issued on 6/17/2021 to C1’s mother, for prorated rent due back to C1. This check was not issued in a timely manner as the client was discharged from the facility in February of 2021. Although no money is due back, it was determined that the licensee did not maintain adequate records for the deposits and purchases, including receipts for C1.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited on the attached

809D during this visit. Exit interview held, Appeal Rights discussed, Copy of report given.