Complaint Investigation Report

397004497-6-23-2025-27-AS-LRIS-DHZTK9-20250626144734

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

12/12/2024 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20241212104552

Licensee does not have funds to pay facility bills

Licensee allowed residents to live in a facility without power

Allegation: Licensee does not have funds to pay facility bills- 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's bank statements deposits show that the licensee is mixing revenue funds from his ARF and RCFE facilities into different bank accounts, which makes it difficult to isolate what revenue is attributable to this facility. Although the bank deposits were more than the rent roll or reported Board & Care revenue, the specific revenue of this facility could not be concluded as sufficient to cover the operating expenses of this facility. Substantiated.

Allegation: Licensee did not report power outage- Deputy Sheriff contacted CDSS and PG&E and discovered the power was turned off because the facility failed to make a payment on 12/09/2024. Licensee met with Deputy and stated they did pay the bill. The bill showed a completed payment as of 12/12/2024. The generator is currently working. The licensee stated he relied on the generator and thought because he had the generator he didn't think he had to report it. Substantiated

Allegation: Licensee allowed residents to live in a facility without power. The facility was without power for five (5) days. Staff told Deputy that they are running off a generator, but the generator has been turning on and off. Deputy went to the facility at 9:05 AM on 12/12/2024 and observed the generator to be in working condition.