507002685-6-11-2020-27-AS-CACL-BQQ26N-20200618170722

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 507002685
Report Date: 06/04/2020
Date Signed: 06/11/2020 01:49:38 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2020 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 27-AS-20200310132425

FACILITY NAME:	ST. FRANCIS ASSISTED CARE		FACILITY NUMBER:	507002685
ADMINISTRATOR:	JAMI YOUNG		FACILITY TYPE:	740
ADDRESS:	120 20TH CENTURY BOULEVARD		TELEPHONE:	(209) 668-8014
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95380
CAPACITY:	56	CENSUS:	DATE:	06/04/2020
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Administrator, Jami Young		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Failure to safeguard Resident's Cash Resources: Resident had a large amount of money taken from his back account.

INVESTIGATION FINDINGS:

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Unannounced complaint visit via conference call was held on 6/4/ 2020 in lieu of a physical visit due to the current COVID-10 precautions. The Facility has a census of 35. LPA Lund explained the reason for the call to Administrator, Jami Young.

The purpose of this complaint visit was to deliver complaint findings to Administrator Jami Young.

Based on review records, interviews of staff, resident and investigation from Turlock Police Department. Resident (R1) did have a large sum of money missing from R1 Bank Account.

During the investigation, R1 is living at the facility when R1 noticed that there was a large sum of money missing out of R1 bank account. R1 notified management of the facility who called the Turlock Police Department.

****The report was Amended to add the Census on 6/11/2020*****
SEE LIC 9099 C

Unfounded

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2020

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-20200310132425

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: ST. FRANCIS ASSISTED CARE	FACILITY NUMBER: 507002685
	VISIT DATE: 06/04/2020

NARRATIVE

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It was learned thru the investigation through the Turlock Police Department who investigated the allegation, that money was taken from R1 account from someone who was not affiliated with the facility or any assisted living facilities and was arrested for taken money from R1 bank account. The money had started been taken out of R1 bank account before R1 signed an admission agreement with the facility. R1 LIC602A states that R1 can manage own cash resources and the facility is not responsible for R1 cash resources. The bank did return R1 missing money because there was fraud made on R1 account.

This agency has investigated the complaint allegation. This agency has found that the complaint was UNFOUNDED, meaning that the allegation(s) were false, could not have happened and/or was without a reasonable basis. This agency has therefore dismissed the complaint.

Exit interview was conducted with Administrator Jami Young and LPA Lund reviewed report via telephone. LPA Lund emailed Administrator Jami Young a copy of this report and appeal rights to acknowledge review and receipt.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2020

LIC9099 (FAS) - (06/04)

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