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Inspection visit

complaint

SKYHILL QUALITY LIVINGLicense 1976089107 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

LPAs reviewed R1,R2,R3,R4 personal files and requested copies of admission agreement, physician's report, identification and emergency information, pre-appraisal agreement, needs and service appraisal, and DHS/ Brillance Corner documentation. Administrator will email hospice documents and Personal and Incidental (P&I) funds, and mail proof of association documents for staff #2(S2), surety bond, and cable statements. On 9/13/21 LPA Flores conducted an interview with administrator over the phone. During the course of the investigation LPA Flores submitted a request for audit services on 9/20/21. On 11/3/21 Department's audit service met with Licensee Tina Arutyunyan via Microsoft Teams. On 3/8/22 LPA Flores received complete Trust Audit Report. The investigation reveled the following: Regarding allegation: Financial Abuse. It is alleged, there is an issue of financial abuse and there are no logs to record all monthly deposits and withdrawals from each client's Personal and Incidental (P&I) funds since placement. On 9/1/21 Interviews with residents revealed 1 out 4 residents has not gone to purchase clothe and does not have need of clothes as resident is mostly in bed, 1 out of 4 residents stated to only use regular Spanish channels and does not have someone come sing to them. 1 out of 4 residents stated to have everything they need, and 1 out of 4 residents was out of the facility at the time of the visit. LPAs did not observed clothes listed on purchased receipts, furniture or make up listed in receipts was not observed. On 3/8/22 Trust Audit Report conducted by Audit Services Department revealed multiple residents did not have access to or were not distributed P&I fun ds. Regarding finding: Multiple Residents did not have access to or were not distribute P&I funds. Brilliant Corners provides funding for R1,R2,R4's rent and P&I amounts which are paid to the licensee in a lump sum amount. On 8/19/21 during a visit by Department of Health Services (DHS) representative interviews were conducted with residents, regarding items listed on handwritten receipts without resident's initials/signature which were requested on 6/11/21 and residents stated to not have received items listed on receipts and furniture listed on receipts were not observed by DHS representative in resident's rooms. Interviews with agencies, licensee, and residents revealed P&I funds were not distribute to residents in care. Regarding finding: Proper Documentation for expenditures was not maintained. Licensee did not maintained proper record keeping of P&I money entrusted to licensee, receipts were hand written and not signed by residents. Regarding finding: Licensee is commingling facility funds with P&I amounts. Brilliant Corners provides funding for R1,R2,R4's rent and P&I amounts which are paid to the licensee in a lump sum amount. Bank statements reviewed revealed personal account and money from funding agency for Skyhill Quality Living and Skyhill Quality Living 2 were maintain int the same account. (CONTINUED LIC (9099C) Regarding finding: Only residents identified with P&I from Brilliant Corners were affected. It was determined that residents not associated to Brilliant Corner were either able to handle their own money or had a representative on file. Regardining finding: Licensee does not have policies and procedures or proper bonding. Licensee did not ensure to obtain proper bonding for the license facility to be able to safeguard resident's P&I money, current bond covers the corporation and not the license facility. During a Microsoft teams meeting on 11/3/21 with the department and licensee, licensee was notified to keep records and distribute P&I amounts to residents. The licensee is to pay the residents all P&I amounts since each residents time of placement up to November 2021, as follow: R1 must be pay the total amount of $2329.00 R2 must be pay the total amount of $1104.00 and R4 must be pay the total amount of $1104.00. Based on interviews and documents review conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found SUBSTANTIATED. California Code of Regulations Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted with Licensee Tina Arutyunyan and a copy of this report, LIC 9099D, and appeal rights were provided.

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

    87207 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 is not met as evidence by: Based on documents reviewed licensee did not ensure to provide accurate information and records to teh LPAs and other agency representatives which poses a health, safety, or personal rights risk for the persons in care.

  • 87217(e)Type B

    87217 Safeguards for Residents, Personal Property,and Valuables: (e)Cash resources... which are handled by the licensee... shall not be commingled... used as the facility funds or petty cash, and shall be separate,...from any liability ... in the use of his own or the facility's funds and valuables...This requirement is not met as evidence by: Based on documents reviewed licensee did not ensure to maintain a separate account for residents' cash resources wihch poses a potential risk to the health, safety, or personal rights of the persons in care.

  • 87405(d)(2Type B

    Administrator - Qualifications and Duties.The administrator shall... If the licensee is also the administrator, all requirements...apply. (2) Knowledge of and ability to conform to... laws, rules and regulations. (3) Ability to maintain or supervise... financial and other records. (5) Good character and a continuing reputation of personal integrity.This requirement is not met as evidence by: Based on documents review licensee did not ensure to maintain accuracy of financial records which poses a potential health, safety, or personal rights risk to the persons in care.

  • 87506(a)Type B

    87506 Personal Records: (a) 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 requireement is not met as evidence by: Based on record review observations during the visit dated 9/1/21 in reference to complaint # 28-AS-20210824090807, residents' files were incomplete and/or missing required forms i.e. P & I ledgers, hospice care plans, original receipts of P & I expenditures, and authorized representative contact information. This poses a potential health, safety or personal rights risk to persons in care.

  • 87215Type B

    87215 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 of another residential care facility...This requirement is not met as evidence by: Based on documentation reviewed licensee did not maintain a separate checking account for facility from personal account which poses a potential health, safety, or personal rights risk to the persons in care.

  • 87216(a)Type B

    87216 Bonding: (a) Each licensee,... entrusted to safeguard...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.This requirement is not met as evidence by: Based on document review the licensee did not ensure to obtain a proper surety bond prior to handling the resident's cash resources which poses a potential health, safety, or personal rights risk to the persons in care.

  • 87217(b)Type B

    87217 Safeguard for Resident Cash, Personal Property, and Values (b) Every facility shall take...measures to safeguard residents' cash resources, ... have been entrusted to the licensee...The licensee shall give the residents receipts for all such articles or cash resources.This requirement is not met as evidence by: Based on documents reviewed licensee did not ensure to maintain record receipts for items purchase with P&I funds for R1,R2,R4 which poses a potential health, safety, personal rights risk to the persons in care.

  • 87217(c)(1)Type B

    87217 Safeguards for Resident Cash, Personal Property, and Valuables: (c)... facility shall account for any cash resources entrusted...(1) Cash resources include but are not limited to monetary gifts,...personal and incidental need allowances from funding sources such as SSI/SSP.This requirement is not met as evidence by: Based on documents reviewed licensee did not ensure to be accountable for resident's cash resources which poses a potential health, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of SKYHILL QUALITY LIVING?

This was a complaint inspection of SKYHILL QUALITY LIVING on April 26, 2022. 7 citations were issued: 1 Type A (serious) and 6 Type B.

Were any citations issued to SKYHILL QUALITY LIVING on April 26, 2022?

Yes, 7 citations were issued (1 Type A, 6 Type B). The first citation was for: "87207 False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading sta..."

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.