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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 04/29/2024
Date Signed: 04/29/2024 04:41:33 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/07/2024 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240207084938
FACILITY NAME:SAVANT OF JURUPA VALLEYFACILITY NUMBER:
335530032
ADMINISTRATOR:PATRICK L. MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:5881 EL PALOMINO DRIVETELEPHONE:
(951) 683-3333
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY:197CENSUS: 158DATE:
04/29/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Danielle Garcia, Office ManagerTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Facility charging higher amount than state standards allow for SSI.
Staff did not do a proper rent increase
Staff do not allow residents to have their authorized representative/advocate at facility meetings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with Danielle Garcia, Office Manager and explained the elements of the complaint.

Regarding the allegation the Facility charging higher amount than state standards allow for SSI; documentation was obtained of a increase for social security benefits that was sent to all recipients effective January 1st, 2024. Effective January 1st, the rate increased for resident's board and care, which included the increase in social security benefits, not to exceed the amount the resident receives for social security.

***continued on LIC 9099***
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier PrietoTELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 56-AS-20240207084938
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: SAVANT OF JURUPA VALLEY
FACILITY NUMBER: 335530032
VISIT DATE: 04/29/2024
NARRATIVE
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Regarding the allegation that Staff did not do a proper rent increase; a sample documentation was obtained of a resident who was made aware of an increase in rent November 2023 for the rate increase in January, allowing for the proper amount of time to notify a resident of the increase in rent. A second letter was obtained indicating a rent increase for January 2024, with the letter dated 09/18/2023, exceeding the 60 day notice required by California Law and Title 22. Interview with administrator reveal letters were hand delivered on 09/18/2023. This was also based on the increase in social security benefits. Residents on an Assisted Living Waiver (ALW) also had an increase in benefits where the program also covered the room and board rate and care and supervision rate, not changing what is covered for the facility. The amount received by the recipients did not change. Executive Director Morton-McAdoo stated the residents that have been issued an eviction notice are being evicted due to non-payment and not because the increase rate. Interviews with Resident #1 (R1), R2 and R3 reveal that the they were given a proper eviction notice and eviction was due to non-payment. Eviction records were obtained for R4, R5, R6, R7 and R8


Regarding the Staff do not allow residents to have their authorized representative/advocate at facility meetings; Interview with Executive Director Morton-McAdoo and Business Office Manager Garcia states they do not deny any resident representative an audience regarding admission's to the facility if they are the Power of Attorney (POA) or authorized representative. Advocates are not required to attend facility meeting. Resident Consul was interviewed and states residents do not require advocates to be present during meetings.

Based on the information obtained there is not enough evidence that Facility charging higher amount than state standards allow for SSI, Staff did not do a proper rent increase and Staff do not allow residents to have their authorized representative/advocate at facility meetings. Therefore, the allegations are deemed UNSUBSTANTIATED at this time.

This report was signed by LPA Prieto and Office Manager Garcia and a copy was left with the facility.

SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier PrietoTELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2