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Inspection visit

Complaint

OUR SWEET HOME INC #2License 1976080837 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

incidental funds (P&I). It was also alleged that, R1 was requesting specific items, and the Administrator/Licensee was billing Department of Health Services (DHS) for items R1 was requesting. R1 revealed the items were never requested or received, although the items were billed to DHS. On September 01, 2021, from 10am to 1pm, LPA Wendell Smith initiated the investigation, and conducted interviews with resident #1 (R1) and resident # 2 (R2). LPA Smith also requested various records to be reviewed. The Administrator/Licensee Tina Arutyunyan was contacted telephonically, in which, specific documents were requested: bank records from January 2019 to present; P&I records for all residents who received assistance with their finances, and verification of a valid and current surety bond. According to records received and reviewed, it was determined, that the Administrator/Licensee did not have a valid or current surety bond to handle residents P&I funds. In lieu of the P&I records, the Administrator/Licensee submitted hand-written receipts without residents’ signatures and attached receipts for expenditures. The handwritten receipts submitted, documented an excessive and inflated number of expenditures for special food, charges for cable channels, grooming items/services, clothing, and furniture. Residents interviewed during the initial complaint visit, denied receiving those items and LPA Wendell Smith did not observe described clothing and furniture in the facility. It was determined the Licensee/Administrator misappropriated residents personal & incidental (P&I) funds and did not maintain adequate financial records or expenses for residents’ cash resources. The Licensee/Administrator co-mingled the residents’ (P&I) funds with facility funds, without obtaining a surety bond to handle residents’ cash resources. On September 20, 2021, the complaint was referred to Community Care Licensing Division (CCLD) audit department for further review of the Administrator/Licensee trust and financial accounts. The complaint was assigned to auditor manager Jacqueline Juarez, who reviewed and completed an audit investigation. Auditor Juarez conducted interviews with the County of Los Angeles, Department of Health Services, Housing for Health-Enriched Residential Care Program, and a representative from Brilliant Corners. The auditor obtained information pertaining to the placement of residents to the facility; the programs and their involvement with the residents; the issuance of payments for residents, and the relationship with the Administrator/Licensee. The auditor also reviewed all documents and information obtained by the Regional Office in relation to the complaint. It was revealed, the Administrator/Licensee is issued a monthly lump sum payment for the residents enrolled with Brilliant Corners. There was a signed agreement between the Administrator/Licensee and a Brilliant Corner representative. The agreement specified how the payments for the residents should be allocated for their expenses, such as (rent, personal incidentals, and enhanced services). On March 08, 2022, the audit investigation concluded that the Licensee/Administrator misappropriated residents personal & incidental (P&I) funds; failed to maintain adequate safeguards and records for residents’ cash resources and comingled the residents personal and incidental funds with facility funds. Overall, the investigation revealed that the Administrator/Licensee did not comply with Licensing requirements and regulations, pertaining Safeguards for Residents Cash Resources, Personal Property and Valuables. The Administrator/Licensee also did not obtain a surety bond prior to handling residents’ cash resources. Additionally, the Administrator/Licensee provided Brilliant Corners and DHS inaccurate and inflated expenses of expenditures for R1. Based on the information obtained, the allegation of financial abuse is Substantiated at this time. Citations and deficiencies were discussed with the Licensee/Administrator. Exit interview, appeal rights, and a copy of report was issued.

Citations

7 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

  • 87215Type B

    Commingling of Money: 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 for another residential care facility for the elderly of a different license number, regardless of joint ownership.

  • 87216(a)Type B

    Bonding: (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.

  • 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), 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.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of OUR SWEET HOME INC #2?

This was a complaint inspection of OUR SWEET HOME INC #2 on April 26, 2022. 7 citations were issued: 1 Type A (serious) and 6 Type B.

Were any citations issued to OUR SWEET HOME INC #2 on April 26, 2022?

Yes, 7 citations were issued (1 Type A, 6 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 a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.