374604294-1-4-2024-18-AS-RSTS-CZF354-20240112165603

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 08/03/2023
Date Signed: 01/04/2024 11:51:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 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
07/28/2023 and conducted by Evaluator Janette Romero

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230728094657

FACILITY NAME:	LAS VILLAS DEL NORTE		FACILITY NUMBER:	374604294
ADMINISTRATOR:	FARISH, JOLENE		FACILITY TYPE:	740
ADDRESS:	1325 LAS VILLAS WAY		TELEPHONE:	(760) 741-1047
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	198	CENSUS: 157	DATE:	08/03/2023
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Administrator Jolene Farish		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are not providing resident with a refund

INVESTIGATION FINDINGS:

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On 1/4/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced complaint visit to deliver an amended version of this report. LPA met with Administrator, Jolene Farish.

Regarding the allegation of “Staff are not providing resident with a refund” it was alleged that Resident 1 (R1) did not receive a refund for monthly care fees overcharged during R1’s absence from the facility. LPA reviewed R1’s Admission Agreement and found that on page 13, subsection 6, titled, “Absences” stated, “If you are absent from LAS VILLAS DEL NORTE for more than fourteen (14) consecutive days, you will receive a pro-rated credit toward your Monthly Care Fee starting on day fifteen (15).”

*This is an amended version of the original report

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Janette Romero	TELEPHONE: (951) 248-0350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

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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Control Number 18-AS-20230728094657

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LAS VILLAS DEL NORTE	FACILITY NUMBER: 374604294
	VISIT DATE: 08/03/2023

NARRATIVE

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R1’s Admission Agreement confirms the facility is to issue a pro-rated credit towards R1’s monthly care fees if the resident was absent from the facility for more than fourteen consecutive days. R1 was absent from the facility on April 17, 2023 – July 7, 2023, which would entitle R1 to receive a pro-rated credit for monthly care fees, not a refund. Administrator Farish verbally agreed to accommodate and provide a refund for R1.

LPA found that the facility issued a refund check in R1's name; however, the individual handling R1's finances requested the check be made to their name, which delayed the refund process. LPA found that the individual handling R1’s finances was not listed as the Power of Attorney agent or responsible person for R1. LPA determined that the facility did not intentionally withhold R1’s refund and instead issued the refund to R1 directly rather than the person handling R1's finances. The individual handling R1's finances was provided the overnight FedEx tracking number for the check refund. Per the admission agreement, R1 was not entitled to a refund, only a pro-rated credit for monthly care fees. However, the facility provided a refund for R1 and added a $100.00 credit to R1’s account for any inconvenience.

Based on interviews conducted and record review, the allegation that "Staff are not providing resident with a refund" was found to be Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report was discussed and provided to Administrator Farish along with a Confidential Names List (LIC 811).

*This is an amended version of the original report.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Janette Romero	TELEPHONE: (951) 248-0350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023

LIC9099 (FAS) - (06/04)

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