425850379-5-14-2024-29-AS-KBUY-D5GTFG-20240521144131

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850379
Report Date: 05/14/2024
Date Signed: 05/14/2024 02:08:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2024 and conducted by Evaluator Melisa Rankin

COMPLAINT CONTROL NUMBER: 29-AS-20240429150725

FACILITY NAME:	LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE		FACILITY NUMBER:	425850379
ADMINISTRATOR:	AQUINO, AMELITA I		FACILITY TYPE:	740
ADDRESS:	1431 LARK CT		TELEPHONE:	(805) 878-3409
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	6	CENSUS: 5	DATE:	05/14/2024
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Administrator, Amelita Aquino		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff are not providing resident mail
Resident is missing funds from account

INVESTIGATION FINDINGS:

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At 2:05 PM, LPA Rankin and Jeffries arrived unannounced at the facility to issue final findings. LPA's met with Administrator Amelita Aquino.

As to the allegation of, “Facility staff are not providing resident mail.” It was alleged that on approximately 04/26/2024, Resident 1 (R1) had not received any bank statements since they moved to the facility. It was discovered through observation and interviews the following information: In an interview on 05/01/2024, R1 was interviewed by Licensing Program Analyst (LPA) Jeffries. R1 stated that they are not sure if they are getting all their (R1’s) mail. R1 stated to LPA Jeffries, “I forget a lot of things lately.”

CONTINUED on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Melisa Rankin	TELEPHONE: (805) 635-4718
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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 3

Control Number 29-AS-20240429150725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE	FACILITY NUMBER: 425850379
	VISIT DATE: 05/14/2024

NARRATIVE

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LPA Jeffries observed R1’s desk, in R1’s room to have a basket on top of R1’s desk, with approximately 20 pieces of mail. In a telephone interview of R1’s responsible party (F1) on 05/02/2024, it was discovered that R1 has a family member who was R1’s Financial Trustee (F3). F1 provided contact information for F3. On 05/03/2024, LPA Rankin interviewed a witness (W1). W1 stated R1 confirmed current address listed on their account is the correct address. W1 confirmed multiple bank accounts and confirmed multiple unidentified charges to one of R1’s accounts. On 05/03/2024 R1’s Financial Trustee (F3) was interviewed via a telephone interview by LPA Rankin, F3 stated they (F3) could only see one account prior to the incident, but now all accounts information will come to F3 via e-statements. In an interview with Administrator Amelita Aquino it was stated that R1 received bank statements once per month at the facility, and S1 hand delivers all residents their mail directly. In an interview on 05/01/2024 with other residents in the facility, LPA Rankin was informed that they were receiving all their mail and not missing any mail to their knowledge. On 05/01/2024, LPA Jeffries interviewed Care Staff. Staff stated that the Administrator gets the mail and always gives the mail to the residents. On 05/02/2024, LPA Rankin interviewed Family Friend (F2), F2 was unaware that any of R1’s mail had been missing. Based on interviews, and observations, there is not enough evidence at this time to support the allegation of, “Facility staff are not providing resident mail” and it is unsubstantiated at this time.

As to the allegation of, “Resident is missing funds from account”, it was alleged that multiple debit card transactions, dating back to April 15, 2024 had cleared (R1’s) account, and the transactions did not appear to be made by R1. On 05/01/2024, LPA Jeffries and Rankin interviewed staff and residents. LPA Jeffries interviewed R1, R1 stated that R1 doesn’t know how much money was taken or how it was taken. R1 stated “I forget a lot of things lately.”

CONTINUED on LIC9099-C

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Melisa Rankin	TELEPHONE: (805) 635-4718
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20240429150725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE	FACILITY NUMBER: 425850379
	VISIT DATE: 05/14/2024

NARRATIVE

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R1 stated they “do not know where their bank statements are at.” R1 stated on 05/01/2024, R1 went to the bank and changed the account number. On 05/02/2024 at 9:20 AM LPA Rankin and Jeffries interviewed F1 over the phone, F1 stated they knew R1 claimed their checkbook was missing, but that R1 has a history of "missing" items such as flashlights, bibles, and a magnifying glass, that were later found in R1's room. F1 stated there was a fraud issue with R1's bank card when R1 was at a facility prior to this facility. F1 stated a family member (F4) takes R1 to appointments. F1 also stated that F3 is the trustee for R1. On 05/02/2024 at 10:27 AM, LPA Rankin spoke with F1 again. F1 continued to give a history of concern for R1's family member F4, that F4 has a history of stealing from family members including R1. Documents provided by facility show that while R1 had possession of their card they had been visited or taken out of the facility on multiple occasions. Facility Log of visits or trips dated 04/15/2024, 04/16/2024, 04/17/2024, 04/18/2024, 04/19/2024, 04/20/2024, 04/21/2024, 04/22/2024, 04/23/2024, 04/24/2024, 04/25/2024, 04/26/2024, 04/27/2024, 04/28/2024, and 04/29/2024, with various people (F1, F2, F4, F5, F6, F7). On 05/03/2024 LPA Rankin spoke with a witness (W1). W1 confirmed that R1 has multiple accounts, and only one account was affected. W1 stated the unusual transactions were from a couple places including “Nike, Amazon, and Shein.” W1 stated they called R1 and asked R1 if they had given their card to anyone, R1 stated “no”, and R1 stated they had their card with them at that time and had not given it to anyone. W1 canceled the card for R1. On 05/03/2024 R1’s Financial Trustee (F3) was interviewed via a telephone interview by LPA Rankin. F3 stated they could only see one account prior to the incident, but that now all accounts information will come to F3 via e-statements. On 05/01/2024, LPA Jeffries interviewed staff in the facility, all who denied having any access to R1’s bank accounts, checks, or cards. At this time, there is not enough evidence to support the allegation of “resident is missing funds from account” due to the facility not safeguarding R1’s bank account and is unsubstantiated at this time.

Exit interview conducted and copy of report printed for Administrator.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Melisa Rankin	TELEPHONE: (805) 635-4718
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC9099 (FAS) - (06/04)

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