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Inspection visit

complaint

SKYHILL QUALITY LIVING #2License 1976090987 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: "Financial Abuse". It is alleged that Licensee misappropriated Personal & Incidental (P&I) funds of two (2) residents (R1 & R2), who are enrolled in the LA County Department of Health Services/Department of Mental Health [Housing for Help] Enriched Residential Care (ERC) program, that contracts a non-profit organization called Brilliant Corners. The Department of Health Services places persons in licensed facilities. Brilliant Corners is the payee and is responsible for making rent payments and issuing P & I money. Recipients of the program are usually homeless, do not qualify for Social Security benefits, and are provided wrap-around services by Brilliant Corners. Brilliant Corners issues a lump sum payment to the facility for resident participants. The Brilliant Corners Agreement is signed by the Licensee and specifies how the amounts should be allocated (Rent, Personal & Incidental expenses, and Enhanced Services). Resident (R1) moved in to the facility on 1/6/2021 and resident (R2) moved in on 7/2/2021. Both residents receive $138.00 a month of P & I money. On June 2, 2021, the Department of Health Services conducted a random Quality Assurance audit visit. It was noted that personal and incidental monies were not documented or accounted appropriately. Licensee Tina Arutyunyan was informed of the deficiency and submitted hand-written amounts on the Plan of Correction documents. The receipts documented excess expenditures of items never requested or received by residents (R1 & R2). The items listed do not have resident’s initials or original receipts to support transactions. It is clear from the documents that they are prepared after the fact, as they are dated with 8/11/2021 as a plan of correction. There were no supporting original receipts for items allegedly purchased for the residents with the P & I monies. P & I is strictly to be used for residents personal spending money. On 9/1/2021, LPA interviewed residents (R1-R5). Residents (R1 & R2) confirmed they have not been given P & I monies. Resident (R2) stated Licensee has not given the resident any allegedly purchased items like an electric razor; resident only owns a regular razor, and a nail trimming services have not been received. P & I records/purchase receipts were not observed in resident files during the initial complaint visit. Ms. Arutyunyan was not present during the initial complaint visit and was interviewed on 9/10/2021. Licensee denied managing or spending resident (R1 & R2’s) P & I money. She stated that resident (R1) is a smoker and “all the P & I money goes to cigarettes.” On November 3, 2021, the licensee was notified and told by CCLD Auditor Jacqueline Juarez how to keep records of and distribute P & I amounts. Per record review, Licensee Tina Arutyunyan provided Department of Health Services and Community Care Licensing inaccurate information and documentation about the distribution of P & I monies and the money was spent. See LIC 9099C for report continuation. The Department of Social Services Community Care Licensing Division Auditor Jacqueline Juarez completed a Trust Audit to determine if Licensee misappropriated residents personal & incidental (P & I) funds. The Trust Audit Report was finalized on 4/8/2022. The findings were: 1. Residents (R1 & R2) did not have access to or were not distributed P & I funds 2. Proper documentation for expenditures was not maintained. 3. Licensee is commingling facility funds with P & I amounts. 4. Licensee does not have policies and procedures or proper bonding. The licensee violated the rights of the residents by not distributing their P & I funds or keeping records of the funds entrusted to her. Licensee shall: Pay back residents (R1 & R2) all P & I amounts since placement/admit date to November 2021. The licensee owes resident (R1) $1,518.00 and owes resident (R2) $690.00. Work will Brilliant Corners house coordinators when residents needs increase, and not use P & I monies to cover the cost. Provide proof of Surety Bond that covers the facility license and not the corporation. Licensee is to furnish a plan to the Regional Office on how P & I funds will be distributed to residents and provide a copy of the bank statement showing P & I funds have been deposited into separate trust accounts. As part of the plan of correction, the Licensee in six (6) months [10/8/2022] from the Trust Audit report date (April 8, 2022), is to provide to the Audit Section the P & I LIC 405's and corresponding receipts to ensure proper recording keeping. Based on record review and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations Title 22, Division 6 and Chapter 8 is being cited. See attached LIC 9099D. Exit interview was conducted with Licensee Tina Arutyunyan. A copy of the appeal rights and report was issued.

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.

  • 87506(a)Type B

    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 # 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, and R6's file was not observed. This poses a potential health, safety or personal rights risk to persons in care.

  • 87207Type A

    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 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. This poses an immediate health, safety or personal rights risk to persons in care.

  • 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 of another residential care facility for the elderly of a different license number, regardless of joint ownership. This requirement was not evidenced by:Based record review and interview condcuted during the audit investigation the Licensee failed to maintain accurate financial records; and provided DHS and CCL inaccurate documentation and information.

  • 87216(a)Type B

    Bonding. 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 following schedule: Total Safeguarded Per Month- Bond Required $750 or less= $1,000, $751 to $1,500= $2,000$1,501 to $2,500 =$3,000. This requirement was not evidenced by:Based on record review and interviews conducted Licensee acknowledged that a Surety Bond was not in place on 9/1/2022. The bond provided covers the corporation and does not cover each license. This poses a potential health, safety or personal rights risk to persons in care.

  • 87217(b)Type B

    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 was not met evidenced by:The Trust Audit findings revealed that Licensee failed to document expenditures of items purchased with P & I monies. Hand written amounts were submitted without original receipts. Receipts were prepared after the fact dated 8/11/21. This poses a potential health, safety or personal rights risk to persons in care.

  • 87217(c)(1)Type B

    Safeguards for Resident Cash, Personal Property, and Valuables. Every facility shall account for any cash resources entrusted to the care or control of the licensee or facility staff. Cash resources include but are not limited to... personal and incidental need allowances from funding sources such as SSI/SSP. This requirement was not met evidenced by: Based on the Trust Audit report, record review, and interviews conducted the findings indicate Licensee did not distribute P & I funds to residents (R1 & R2), and did not keep proper records of funds entrusted to her. This poses a potential health, safety or personal rights risk to persons in care.

  • 87217(e)Type B

    Safeguards for Resident Cash, Personal Property, and Valuables. 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 Trust Audit report and record review Licensee is commingling facility funds with personal and incidental funds. Facility bank statements were obtained. This poses a potential health, safety or personal rights risk to persons in care.

  • 87405(d)(2Type B

    Administrator - Qualifications and Duties.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 on the Trust Audit report and record review the findings indicate Licensee failed to maintain 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 SKYHILL QUALITY LIVING #2?

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

Were any citations issued to SKYHILL QUALITY LIVING #2 on April 26, 2022?

Yes, 7 citations were issued (1 Type A, 6 Type B). The first citation was for: "Resident Records. The licensee shall ensure that a separate, complete, and current record is maintained for each residen..."

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.