<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603489
Report Date: 06/05/2024
Date Signed: 06/05/2024 11:42:03 AM

Document Has Been Signed on 06/05/2024 11:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ABOVE AND BEYOND ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
198603489
ADMINISTRATOR/
DIRECTOR:		SAUNDERS, TONYAFACILITY TYPE:
735
ADDRESS:430 S. MOUNTAINTELEPHONE:
(951) 323-3852
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 4CENSUS: DATE:
06/05/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Administrator Tonya Saunders, Licensee Lynneshia WilliamsTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 06/05/24, an informal meeting was held at the Monterey Park Adult and Senior Care Regional Office. The purpose of this office meeting was to discuss civil penalties, uncleared deficiencies, repeated deficiencies, absence of Administrator, and theft of clients’ P&I monies, that allegedly occurred at the facility by a former staff.

Present in today’s meeting: Licensing Program Manager – Tony Vasallo, Licensing Program Analyst – Kimberly Ramirez, Administrator– Tonya Saunders, Licensee-Lynneshia Williams.

During the meeting, the following were addressed:

· Case Management- 4/18/2024 - 80061(b)(1)(E) Reporting Requirement- *$250 for repeat Violation

*Deficiency not cleared as of 06/05/2024

· Case Management- 3/15/2024 - 80061(b)(1)(E) Reporting Requirement, 80072(a)(3) Personal Rights, 80075(a) Health Related Services *$250 for repeat Violation

· Complaint- 03/15/2024 - 85072(a)(6) Personal Rights, 85072(a)(9) Personal Rights

· Case Management- 06/22/2023 - 80075(a) Health Related Services

· Who is the current Administrator?

· What internal investigation was conducted after the theft of P & I monies was discovered? Police notified? What was the outcome?

· How does the facility plan to regain compliance?

See 809-C

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ABOVE AND BEYOND ADULT RESIDENTIAL FACILITY
FACILITY NUMBER: 198603489
VISIT DATE: 06/05/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The licensee agreed to do the following:
  • Licensee is open to Technical Support Program (TSP) assistance.
  • Licensee designated Tonya Saunders as Administrator.
  • Licensee will clear deficiency cited on 04/18/24.
  • Licensee will send in service training for 80061(b)(1)(E).
  • Licensee will provide additional information regarding alleged theft of clients P & I monies.


Exit interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2