331880566-3-3-2021-18-AS-KCLS-BYV88E-20210306211721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880566
Report Date: 03/03/2021
Date Signed: 03/03/2021 04:06:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/10/2020 and conducted by Evaluator Deborah Mullen

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20201110143454

FACILITY NAME:	FIRST CHOICE SENIOR LIVING		FACILITY NUMBER:	331880566
ADMINISTRATOR:	RECINTO, MONTANO O		FACILITY TYPE:	740
ADDRESS:	34796 MYOPORUM LN		TELEPHONE:	(951) 599-4305
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	6	CENSUS: 4	DATE:	03/03/2021
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Montano Recinto, Licensee/Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility failed to issue a refund

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Deborah Mullen delivered the findings of the above allegation to Montano Recinto, Licensee/Administrator. Due to Covid-19 restrictions the findings were issued by telephone. During the investigation LPA interviewed the Licensee and other pertinent witness, as well as obtained and reviewed a copy of the Admissions Agreement for resident 1 (R1).
The allegation stated the facility failed to issue a refund. R1 was admitted to the facility on 8/24/2020 and passed away on 8/27/2020. Based upon interviews conducted and a review of the Admissions Agreement, signed by both R1’s authorized representative and the licensee, the fees upon admission were non-refundable regardless of the duration of time R1 was placed at the facility.
Therefore, this agency has investigated the complaint alleging the facility failed to issue a refund. We have found that the complaint was unfounded, meaning that the allegations were 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 Montano Recinto, Licensee. The report was emailed to Mr. Recinto for his review and signature.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2021

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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