198320037-3-30-2023-11-AS-SCIS-CU4VP4-20230726163606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320037
Report Date: 03/28/2023
Date Signed: 03/30/2023 10:25:34 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2023 and conducted by Evaluator Pamela Bunker

COMPLAINT CONTROL NUMBER: 11-AS-20230322150113

FACILITY NAME:	CARMIE HOME CARE		FACILITY NUMBER:	198320037
ADMINISTRATOR:	RECIO, PAOLO		FACILITY TYPE:	735
ADDRESS:	14528/30 HALLDALE AVE		TELEPHONE:	(310) 938-2190
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY:	9	CENSUS: 7	DATE:	03/28/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Paolo Recio and Rosauro Guzman		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff opened a bank account using resident's information withoutresident's authorization

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, March 28, 2023, Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker spoke with Administrator Paolo Recio via telephone and met with staff Rosauro Guzman. LPA Bunker explained the purpose of today's visit.

The investigation consisted of the following: Interviews were conducted with staff 1-2 (S1-S2) and residents R1-R7. LPA Bunker asked questions relevant to the nature of the complaint. Resident 1 (R1) records were requested, observed, and reviewed. S1-S2 and R1-R7 stated staff is not financially abusing any of the residents. S1-S2 stated R1 cannot handle her own funds she would overspend and not have money for her room and board. S1 stated R1's psychiatrist and Social Security Representative stated R1 needs a payee. S1 stated R1 started calling the Social Security Office stating she can handle her own funds. S1 stated the Social Security Office denied R1's request. See continued LIC9099-C page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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 11-AS-20230322150113

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CARMIE HOME CARE	FACILITY NUMBER: 198320037
	VISIT DATE: 03/28/2023

NARRATIVE

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Continued LIC9099-C page 2

Allegation: Staff opened a bank account using resident's information without resident's authorization
Staff 1-2 (S1-S2) stated R1 bank account was not opened without resident's authorization. S1 stated he is R1's payee and it was approved. Residents 1-7 (R1-R7) stated staff is not opening bank accounts without their authorization. R1-R7 stated that they do not have any issues, problems, or concerns regarding the care and supervision being provided to them by the staff.
Investigation revealed the following: Interviews were conducted with staff 1-2 (S1-S2), and residents 1-7 (R1-R7), stated that staff is not financially abusing any of the residents. S1-S2 stated R1 cannot handle her finances or funds she would overspend, her account would be overdrawn, and R1 will not have money for her room and board. S1 stated R1's Psychiatrist and Social Security Administration Representative stated R1 needs a payee and R1 is aware. S1 stated R1 started calling the Social Security Office about three (3) months ago stating she can handle her own funds and no longer need a payee. S1 stated the Social Security Office denied R1's request. S1-S2 stated he had the authorization to open a bank account using R1's information. S1 stated he opened a bank account with U.S. Bank because he was authorized and approved to do so, but the bank fees were too high, and R1 needed to keep $2,000.00 in the bank. S1 stated he immediately closed the bank account. R1 stated she received a letter from U.S. Bank saying congratulation! You've been enrolled in the U.S. Bank Smart Rewards program. R1 stated she called the bank to tell them to close the bank account. S1 and R1 stated It was not a fraud account. R1 stated S1 is her payee but she wants to be her own payee but the Social Security Office and her psychiatrist will not allow her to handle her money. S1 stated he has been R1's payee for two (2) years and it was approved and authorized to open a bank account. S1 stated the facility has a financial plan which ensures necessary resources are meeting the operating costs for the care and supervision of clients. R1-R7 states they are happy at the facility, and the staff is providing the necessary care and supervision needed to meet resident care needs. S1-S2 denied the allegation.
Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated.
A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to the facility staff.
There were no deficiencies cited. An exit interview was conducted.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC9099 (FAS) - (06/04)

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