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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604105
Report Date: 08/20/2021
Date Signed: 08/24/2021 07:23:16 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2020 and conducted by Evaluator Alexandre Vo
COMPLAINT CONTROL NUMBER: 08-AS-20200518083518
FACILITY NAME:RENAISSANCE LIVING IIFACILITY NUMBER:
374604105
ADMINISTRATOR:EDWARDS, RICHARDFACILITY TYPE:
740
ADDRESS:12536 JACKSON HILL LNTELEPHONE:
(619) 334-0143
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:6CENSUS: DATE:
08/20/2021
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Licensee, Richard EdwardsTIME COMPLETED:
02:51 PM
ALLEGATION(S):
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Facility staff financially exploited a resident
Facility staff is not meeting basic food/water needs of residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Alexandre Vo, conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. LPA was allowed entry into the facility after identifying himself and stating the purpose of the visit. LPA met with Licensee, Richard Edwards.

The Department’s investigation included review of facility and resident records, financial statements, and interviews with staff, residents, and outside sources. It was alleged that the Licensee financially exploited Resident #1 (R1, see List of Confidential Names) through the sale of R1’s properties below-market value price and pre-payment of rent in the amount of $50,000. The transfer of the value of R1’s home to the Licensee was in the amount of $325,000 and a vehicle sales transfer in the amount of $6,500. Based on review of admission agreements and interviews, R1 and Resident #2 (R2) were a married, elderly couple and they moved into the facility on August 7th, 2019 and September 2019, respectively. R2 was on hospice and passed away on May 5th, 2020 and R1 moved out the facility on May 29th, 2020. Per interviews, observations, and records, R1 is deemed alert and oriented and capable of making their own financial decisions.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alexandre VoTELEPHONE: (619) 385-7506
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
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 08-AS-20200518083518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: RENAISSANCE LIVING II
FACILITY NUMBER: 374604105
VISIT DATE: 08/20/2021
NARRATIVE
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Regarding the sale of the residents’ property in El Cajon, according to R1’s and R2’s property loan terms, California Real Estate Listing Agreement and California Real Estate Purchase Agreement, the owners must reside within their own home to avoid a repayment clause. Because the residents were relocated to the residential care facility after their discharge from a skilled nursing environment, the repayment clause was triggered. In addition, to qualify for Veteran’s Administration (VA) Benefits Aid and Attendance, outside source documents corroborated that in order to allow for R2’s uninterrupted care, $84,500 from the sales proceeds was required to satisfy the VA benefits eligibility. This sale proceed is to be applied to the board and care agreement for assisted living services and room and board. The agreements also show that R1’s signature was on both forms. Thusly, R1 entered into the sale agreement and the contract for the uninterrupted care at the assisted living facility without coercion.

Review of the financial ledgers indicate that the facility received $106,596 in total income from the residents for the board and care stay from August 2019 through May 2020, including the $84,500 advance payment. Facility’s board and care services for both residents during this time period were audited in the amount of $98,884.95 and includes rent payments in the amount of $5,000 for R1 and $6,000 R2--$1,000 for additional services for R2’s health conditions--and prorate adjustments in the amount of $4,451.61 for August 2019 and $1,333 May 2020. The resident, or their responsible party, is owed $7,711.05.

According to San Diego County records, as of May 21st, 2020, the value of the resident’s property in El Cajon ranged from $329,406 - $471,984. Outside source observation in June of 2020 reported that the property’s external condition is very poor. A market difference of $4,406 for a house sold in August 2019 is not extreme as the house value has increased in recent market conditions. Financial documents show that the R1 also received a difference of $78,065.53 after the sale of the home, rent deductions, VA benefits adjustment, and repayment clause trigger. Kelly blue book records show that the market value of the vehicle was between $2,514 - $4,637 for a 1993 Toyota Pre-runner. Interviews also indicate that R1 was not under coercion at the time of the sales of the properties. (continued)
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alexandre VoTELEPHONE: (619) 385-7506
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 08-AS-20200518083518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: RENAISSANCE LIVING II
FACILITY NUMBER: 374604105
VISIT DATE: 08/20/2021
NARRATIVE
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Based on the available information through records and interviews, evidence could not corroborated that R1 was financially exploited through the sale of their properties to the licensee for payments of room and board. Even though the resident, or their representative, is owed a refund, the amount due is accounting for unsettled prorate funds. Therefore, this allegation is unsubstantiated which means that the preponderance of the evidence standard has not been met.

It was also alleged that residents were not being provided food and water. Based on interviews and observations, the facility has an ample supply of food and that residents, including R1 and R2, were provided meals and liquids to meet their needs. Records review show that R1 did not require a special diet where licensee would have to meet a prescribed order. Therefore, this allegation is also unsubstantiated because the preponderance of the evidence standard has not been met.

An exit interview was conducted and a copy of this report and Licensee’s Rights (9058 01/16) were provided to the licensee by electronic mail. An e-mail receipt confirms the acknowledgement of these documents.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alexandre VoTELEPHONE: (619) 385-7506
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3