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 | Licensing Program Analysts (LPAs) Wolter and Singh arrived at the facility unannounced on 07/22/2021 to conduct a case management visit. LPAs met with Gladys Gasta and explained the purpose of the visit.
Prior to initiating the case management, LPAs completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, LPAs ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPAs were screened by facility staff upon entry.
Community Care Licensing (CCL) was notified via incident report of potential resident financial abuse on 12/03/2020 against resident (R1). An internal investigation was completed by the facility, and it was determined that staff (S1) had used R1’s credit card to purchase goods online, S1 was terminated and R1 was refunded by the facility. On 02/22/2021 CCL received a SOC 341 from the facility of reported financial abuse against resident (R2), with this information CCL conducted a financial abuse audit surrounding the two incidents.
CCL reviewed R2’s monthly credit card statements, SOC 341, Sacramento Sheriff’s Department police report, R1’s forged check and Elder Options Inc statements. R2 had various fraudulent charges on their Safe Credit Union visa credit card account for a total of $3,065, more than 50% of fraudulent activities occurred in Florida. It was further discovered that in addition to the fraudulent online purchase by S1 using R1’s credit card, that a $2,000 forged check was made out to an individual in Florida with known connections to S1.
Report continued on LIC 809-C |
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 | It is to be noted that R1 resides at 7117 Main Ave and R2 previously resided at 7117 Main Ave before moving to 7121 Main Ave, R2 is no longer a resident at either home.
The following deficiencies are being cited as a result of today's visit:
87205 Accountability of Licensee Governing Body
(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves.
§1569.269 Enumerated rights; severability
(a) Residents of residential care facilities for the elderly shall have all of the following rights: (10)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.
Exit interview conducted, appeal rights provided, and copy of report left at the facility. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
07/23/2021
Section Cited
| 1
2
3
4
5
6
7 | 87205 Accountability of Licensee Governing Body
(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. |  | |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by: interviews and documentation review. The licensee failed to ensure the general supervision of the facility which resulted in financial abuse of R1 and R2. This poses an immediate health, safety, and/or personal rights risk to residents in care. | 8
9
10
11
12
13
14 | Training to be completed no later than 07/29/2021, proof of scheduled training to be sent to the department by 07/23/2021. Once training is complete a copy of training materials used and sign-in sheet to be sent to the department. |
Type A
07/23/2021
Section Cited
| 1
2
3
4
5
6
7 | §1569.269 Enumerated rights; severability
(a) Residents of residential care facilities for the elderly shall have all of the following rights: (10)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. | | |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by: interviews and documentation review. The licensee failed to ensure that residents were free from financial exploitation. This poses an immediate health, safety, and/or personal rights risk to residents in care. | 8
9
10
11
12
13
14 | Training to be completed no later than 07/29/2021, proof of scheduled training to be sent to the department by 07/23/2021. Once training is complete a copy of training materials used and sign-in sheet to be sent to the department. |