191500496-1-6-2022-28-AS-ANAI-CB2MHQ-20220126083751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191500496
Report Date: 12/20/2021
Date Signed: 01/06/2022 03:12:51 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/08/2021 and conducted by Evaluator Jennifer Houston

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20211108131450

FACILITY NAME:	MOUNT SAN ANTONIO GARDENS		FACILITY NUMBER:	191500496
ADMINISTRATOR:	JOYCE FREMPONG		FACILITY TYPE:	741
ADDRESS:	900 EAST HARRISON AVENUE		TELEPHONE:	(909) 624-5061
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	520	CENSUS:	DATE:	12/20/2021
		UNANNOUNCED	TIME BEGAN:	02:33 PM
MET WITH:	Maureen Beith and Mary Lindsey		TIME COMPLETED:	02:34 PM

ALLEGATION(S):

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Facility is experiencing financial hardship for the residents while in care.

INVESTIGATION FINDINGS:

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LPA Nicol Wesley conducted an initial visit to Mt. San Antonio Gardens (MSAG) to inquire about allegation and determined a further investigatin needed to occur by the Continuing Care Contracts Bureau (CCCB). Subsequently, Financial Analyst (FA), Jennifer Houston conducted interviews with the complainant (C1), Mary Lindsey and the MSAG Executive Director (ED), Maureen Beith to gain additional context and information in regards to the allegation brought forth.

During the interview with C1, the overall concern conveyed was to ensure that MSAG was financially stable and not in fear of becoming insolvent and that that the Homeship Fund that was set-up to assist residents who needed assistance in their monthly fee payments was secure and not risking running out of funds. Upon, conclusion of the interview with C1 was very appreciative that the FA received copies of emails expressing concern of how MSAG managed the funds of their Homeship Fund.

************************************CONTINUED ON LIC-9099C**************************************************

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Allison Nakatomi
NAME OF LICENSING PROGRAM ANALYST: Jennifer Houston
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/20/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20211108131450

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: MOUNT SAN ANTONIO GARDENS	FACILITY NUMBER: 191500496
	VISIT DATE: 12/20/2021

NARRATIVE

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C1 provided emails reflecting communication to the management at MSAG that expressed concern and requested clarification of use of the Homeship Funds and and whether the funds were in risk of running out..

FA subsequently interviewed the ED at MSAG and discussed the allegations brought forth. The ED stated that the Homeship Fund was not in fear of becoming insolvent nor did they ask the residents to donate money. The ED provided most current FYE 2021 Financial statements, which were reviewed.

Upon review of the documents, there was no indication that the facility ran the risk of becoming insolvent, therefore allegation is unsubstantiated.

Copy of the report was provided to the facility.

NAME OF LICENSING PROGRAM MANAGER: Allison Nakatomi
NAME OF LICENSING PROGRAM ANALYST: Jennifer Houston
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2021

LIC9099 (FAS) - (06/04)

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