336426750-6-28-2022-18-AS-NBRN-CGVVJZ-20220801162933

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426750
Report Date: 06/28/2022
Date Signed: 06/28/2022 05:40:30 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
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2020 and conducted by Evaluator Amy Goldenberg

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20201211130858

FACILITY NAME:	PARTNERS N CARE-CARE HOME		FACILITY NUMBER:	336426750
ADMINISTRATOR:	VAUGHAN, BEVERLEE		FACILITY TYPE:	740
ADDRESS:	5920 COPPERFIELD AVE		TELEPHONE:	(951) 213-6591
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92506
CAPACITY:	6	CENSUS: 5	DATE:	06/28/2022
		UNANNOUNCED	TIME BEGAN:	05:20 PM
MET WITH:	Karin Vaughn, House Manager		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Staff engaged in an inappropriate relationship with resident.
Staff financially abused resident.

INVESTIGATION FINDINGS:

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This unannounced visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegations mentioned above.

During the course of this investigation interviews were conducted with witnesses, Karin Vaughn, a detective from Riverside Police Department, Adult Protective Services, and R1. In regard to the allegation that staff engaged in an inappropriate relationship with a resident, investigation revealed the following: R1 resides at Partners N Care Care Home. Karin Vaughn reports that she is a close friend of R1 and that she took R1 into her home to help in the care for a friend and their spouse temporarily. R1s spouse passed away. LPA interviewed R1 and qualified them for interview. R1 was alert and oriented to date and place.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

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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Control Number 18-AS-20201211130858

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
RIVERSIDE, CA 92507

FACILITY NAME: PARTNERS N CARE-CARE HOME	FACILITY NUMBER: 336426750
	VISIT DATE: 06/28/2022

NARRATIVE

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During interview, R1 confirms the history of their friendship with Karin and claims they are managing their own money, that they write their own checks, and no-one at the facility helps them. They denied being coerced into writing large checks.

In regard to staff financially abused resident, LPA collected pertinent reports from outside agencies and bank fraud reports. It is alleged that the facility was fraudulently taking funds from R1. On 4/22/2020 a check posted for $29,618.26 and was returned on 4/23/2020 to Partner N Care LLC. There was a $4580.00 and on 4/22/20 there was a $5400.00 check posted to the facility out of the residents bank. The bank issued a fraud alert based on these transactions. Interviews revealed the following information: It is explained by Karin that the funds taken from the account of R1 were for charges of monthly rent and care for R1 and their spouse. She further explained that prior to their death, R1's spouse wanted to pay up-front several months for their spouses care before they passed. Karin reports that she did not receive those funds as the bank returned the check unfunded for the $29,618.26. LPA contact with Riverside Police revealed that their case was suspended. Interviews conducted and review of reports and documents collected from other agencies, although raise concern, do not prove within the preponderance of evidence needed to confirm financial abuse or inappropriate relationship between Karin and R1. We have found the complaint allegations are unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

LIC9099 (FAS) - (06/04)

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