392700993-3-27-2024-27-AS-KHOS-D4DNMU-20240416103543

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700993
Report Date: 03/27/2024
Date Signed: 03/27/2024 11:41:01 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/21/2023 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20230721170313

FACILITY NAME:	A1 DEL MONTE STOCKTON		FACILITY NUMBER:	392700993
ADMINISTRATOR:	SAINI, ANURADHA		FACILITY TYPE:	740
ADDRESS:	517 E. FULTON STREET		TELEPHONE:	(209) 910-5910
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95204
CAPACITY:	158	CENSUS: 156	DATE:	03/27/2024
		UNANNOUNCED	TIME BEGAN:	10:27 AM
MET WITH:	Sunny Saini		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff are financially abusing a previous resident

INVESTIGATION FINDINGS:

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On 3-27-24 at 10:27am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the complaint allegation noted above. LPA met with licensee Sunny Saini and explained the purpose of the visit. The above allegation stated facility continued to take hundreds of dollars out of a Supplemental Security Income (SSI) account belonging to resident1 (R1). During this investigation, LPA conducted an interview with Administrator and reviewed facility internal financial documentation of transactions with R1 between the period of January 2023 and June 2023. Additionally, the Department conducted a review of subpoenaed financial documentation of R1 and conducted additional interviews with R1, R1’s responsible person, and facility Administrator. Based on these record reviews and interviews, it was determined that R1 moved out of facility on 5-9-23 and a transaction of $1,324.82 was transferred to A1 Delmonte Stockton on 6-2-2023 via Automated Clearing House (ACH), however, on 6-22-2023, A1 Delmonte Stockton refunded R1 the amount of $1,324.82 to R1’s bank account.

{Cont. on 9099C}

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Liza King	TELEPHONE: (650) 676-0442
LICENSING EVALUATOR NAME: Michael Bilger	TELEPHONE: (916) 862-4722
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

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 27-AS-20230721170313

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: A1 DEL MONTE STOCKTON	FACILITY NUMBER: 392700993
	VISIT DATE: 03/27/2024

NARRATIVE

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Additional record reviews revealed that in June and July of 2023, multiple payments were sent out from R1’s checking account via an outside app. The subpoenaed transaction records disclosed that on 6-29-23 payments of $345 and $300 were sent to two different individuals, and on 7-10-23 $460 was sent to another individual. The interviews and record reviews conducted as part of this investigation revealed that these identified individuals had no current or past association with the facility.

As a result, there is not a preponderance of evidence to conclude that the facility financially abused R1, a previous resident, therefore, this allegation is UNFOUNDED. A finding of unfounded means the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Sunny Saini and a copy of this report was provided to Sunny.

SUPERVISOR'S NAME: Liza King	TELEPHONE: (650) 676-0442
LICENSING EVALUATOR NAME: Michael Bilger	TELEPHONE: (916) 862-4722
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC9099 (FAS) - (06/04)

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