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Inspection visit

Office review

OUR SWEET HOME INCLicense 1976077111 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

An office meeting was held at the Monterey Park Adult and Senior Care Regional Office (MP ASCRO) to deliver the Final Findings of a Trust Audit Report involving the following facilities: Skyhill Quality Living #2 197609098: [Complaint Investigation - Control #:31-AS-20210824091525 ], Skyhill Quality Living 197608910, Our Sweet Home Inc 197607711, Our Sweet Home Inc #2 197608083, and Our Sweet Home Inc #3 197608084, Attendees present during the meeting were: Licensee/Administrator Tina Arutyunyan and Administrator/Assistant Administrator Akop Ekimyan. CCLD Regional Manager Aracely Ramirez, CCLD Audit Department Manager, Jacqueline Juarez, Licensing Program Manager(s) Lisa Hicks, Naira Margaryan, Stefanie Coronel, and Licensing Program Analyst(s) Noemi Galarza, Mary Flores, Yelena Avetisyan, Tuesday Cabiness, and Rosaura Valenzuela. The purpose of the meeting was explained to Licensee Ms. Arutyunyan and Mr. Ekimyan . On 08/24/2021 Community Care Licensing Division (CCLD) received complaints against all above noted facilities operated by the same Licensee. The complainant was alleging financial abuse of the residents' Personal and Incidental (P&I) funds. An initial investigation visit was conducted on 09/01/2021. As a part of the complaint investigation, the complaints were referred to the CCLD Audit Department for a Trust Audit. The audit investigation conducted by Jacqueline Juarez concluded the following: The Licensee/Administrator Misappropriated residents Personal and Incidental (P&I) funds. Multiple residents did not have access to, or were not distributed P&I funds. The Licensee/Administrator failed to maintain adequate safeguards and records for residents' cash resources. Proper documentation for expenditures was not maintained. The Licensee/Administrator Commingled the residents P&I monies with facility funds. On today's date, CCLD Audit Manager Jacqueline Juarez delivered findings on the Trust Audit Report and discussed required plan of corrections (POCs). The Licensee/Administrator was notified that she will need to complete the following: Refund all residents' enrolled in the Brilliant Corners program the amounts identified in the Trust Audit report and submit proof of repayment. Provide proof of Surety Bond that covers each facility license and not the corporation. Submit a written plan on how they will distribute P&I funds to residents and bank statements showing that P&I funds have been deposited in a separate trust account. Submit an updated Plan of Operation reflecting the changes in population that will be served. On 10/5/2022, Licensee/Administrator is to submit to the Audit Section the LIC 405's and corresponding receipts for each facility to ensure proper record-keeping. The deficiencies related to the complaint allegation were also discussed during today's Office meeting, and were disclosed in the final complaint investigation report delivered to the Licensee Ms. Arutyunyan. See complaint control number 28-AS-20210824090807. During the initial complaint investigation visit dated (9/1/2021) resident's files were reviewed. Based on record review observation, LPA observed the resident files were incomplete and/or missing required forms i.e. personal and incidental (P & I) records, original receipts, hospice care plans, and admission agreements were missing authorized representative parties contact information. In addition, copies of the LIC 500 Personnel Report, resident roster were not obtained or available at the facility. Licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Update all facility admission agreements to include contact information for all residents’ representative parties. A discussion was held with Ms. Arutyunyan regarding observations made during the initial 10 day complaint visit at this facility. Ms. Arutyunyan was informed that a follow up visit will be conducted at a later date to address the deficiencies. A discussion was also held regarding the staff room that was not previously identified in the facility sketch. Per Ms. Arutyunyan and Mr. Ekimyan the staff room is permitted. LPA requested and Ms. Arutyunyan agreed to submit copies of the permits to LPA on or before 5/10/2022. The Licensee was offered and agreed to receive assistance from the Departments Technical Support Program. A brochure was provided to Ms. Arutyunyan and Mr. Ekimyan during the office meeting. Per Title 22 Regulations, Division 6 Chapter 8, Article 09, a deficiency was cited. See LIC 809D. An exit interview was conducted and a copy of this report and appeal rights was issued to Licensee Tina Arutyunyan.

Citations

8 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87207Type A

    Prohibit false or misleading facility statements

    False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement was not evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by providing inaccurate information and documentation to Department of Health Services and Community Care Licensing

  • 87215Type B

    Money and valuables of residents entrusted to the licensee of one community care facility licensed under a particular license number shall not be commingled with those of another residential care facility for the elderly of a different license number, regardless of joint ownership. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by commingling facility funds with personal and incidental funds. Licensee misappropriated residents personal and incidental (P &) funds. which posed a health, safety or personal rights risk to persons in care.

  • 87216(a)Type B

    (a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file, or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. The amount of the bond shall be in accordance with the schedule listed under this regulation. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by acknowledging that a surety Bond was not in place prior to this complaint investigation which poses a health, safety or personal rights risk to persons in care.

  • 87217(b)Type B

    Facility must safeguard entrusted cash and valuables

    Safeguards for Resident Cash, Personal Property, and Valuables. (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources This requirement is not met as evidenced by:Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by not retaining receipts for items purchased with residents P&I which posed a personal rights violation to residents in care.

  • 87217(c)(1)Type B

    (c) Every facility shall account for any cash resources entrusted to the care or control of the licensee or facility staff. (1) Cash resources include but are not limited to monetary gifts, tax credits and/or refunds, earnings from employment or workshops, and personal and incidental need allowances from funding sources such as SSI/SSP. This requirement is not met as evidenced by:Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by not distributing P & I funds to residents (R1 & R2), and not keeping proper records of funds entrusted to her which posed a personal rights violation to residents in care.

  • 87217(e)Type B

    (e) Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate, intact and free from any liability the licensee incurs in the use of his own or the facility's funds and valuables. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by commingling facility funds with personal and incidental funds. This posed/poses a personal rights risk to persons in care.

  • 87405(d)(2Type B

    The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. (3) Ability to maintain or supervise the maintenance of financial and other records (5) Good character and a continuing reputation of personal integrity. This requirement was not evidenced by: Based record review and interview conducted during the audit investigation the Licensee failed to maintain accurate financial records; and provided DHS and CCL inaccurate documentation and information.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    Resident Records. The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met evidenced by: Based on record review observations during the visit dated 9/1/21) in reference to complaint # 31-AS-20210824091525, residents' files were incomplete and/or missing required forms. This poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of OUR SWEET HOME INC?

This was an other inspection of OUR SWEET HOME INC on April 26, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to OUR SWEET HOME INC on April 26, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.