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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800108
Report Date: 09/27/2023
Date Signed: 09/27/2023 02:07:41 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/26/2022 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20221026155550
FACILITY NAME:A B CARING SENIOR LIVING 2FACILITY NUMBER:
331800108
ADMINISTRATOR:CARRASCO, REBECCAFACILITY TYPE:
740
ADDRESS:470 MEADOWLARK LANETELEPHONE:
(951) 435-7592
CITY:PERRISSTATE: CAZIP CODE:
92570
CAPACITY:0CENSUS: 0DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Rebecca Carrasco, LicenseeTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Licensee over-charged resident
INVESTIGATION FINDINGS:
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On 09/27/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an office visit with Licensee, Rebecca Carrasco at the Riverside Adult and Senior Care Regional Office, to deliver the finding on the allegation mentioned above. During the investigation Licensee, and Resident’s Responsible Party (RP) were interviewed and resident’s file was reviewed.
Regarding the allegation “Licensee over-charged resident”, It was alleged Licensee overcharged resident for April 2022, May 2022 and June 2022 rent. LPA interviewed licensee who denied overcharging resident. Licensee stated resident moved out in July 2022. Resident’s rental amount was $3,030. Residents Responsible Party (RP) paid only $900 for April 2022 and $900 for May 2022 rent. Licensee state resident applied for SSI benefit, and on 05/02/2022 resident received two checks $1519.76 and $3514.69 total of $5034.45 that was applied towards resident’s June 2023 and July 2023 rent. Licensee reported the two checks were the only SSI checks resident received. Licensee provided LPA pictures of the SSI checks and text message exchange between Licensee and Resident's RP. Resident’s Responsible Party (RP) was interviewed, interview revealed resident only paid $900 for April 2022 rent and $900 for May 2022 rent because Licensee was going to receive the rest of the rent from SSI. Resident’s RP provided LPA a picture of the $1800 payment. Resident’s file review revealed resident’s rent was $3,030. Resident only paid $900 for April 2022 and $900 for May 2022 and the SSI payments licensee received was not enough to cover resident’s monthly $3,030 rent.
This agency has investigated the complaint alleging Licensee over-charged resident. We have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was reviewed with and provided to Rebecca Carrasco.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Rikesha StampsTELEPHONE: (951) -24-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
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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