Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - incident visit. LPA met with Administrator, Shelly Goss.

On 11/03/2023, the Department received a report from the facility regarding missing funds for the residents. It was reported by the Administrator that on 11/02/2023 around 11:00am, the Administrator became aware that 4 out of 5 residents (R1 - R4) were each missing $100 from their funds which was kept in a locked safe. Only employees has access to the safe, however, it is unknown who had taken money from each resident. There was no financial impact on the residents. The facility's company replaced the resident's stolen money.

During today's visit, LPA Dolores interviewed the Administrator. Based on interview, only certain staff members had access to the facility's safe. After the incident, the Administrator had talked to each staff member to include the staff members who had access to the safe, in which the staff members denied removing the money. The facility's action plan was to change the safe's code, where only the Administrator and one other staff member has access to. The Administrator informed R1 - R4's family members of the missing funds. The Administrator confirmed that the facility's company replaced the resident's money.

LPA and Administrator reviewed 5 residents P&I money. 5 out of 5 residents P&I money were complete with no deficit of money.

No deficiencies were cited per California Code of Regulations, Title 22.

This report was reviewed with Administrator, Shelly Goss and a copy of the report was provided.