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Inspection visit

complaint

3K HOME CARELicense 3060006382 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

(Continued from LIC 9099) Upon review of R1’s file, R1’s admission agreement was altered via handwritten note to show an effective date of December 3, 2023, with a new rate of $5500. On this same page, another handwritten note states on May 7, 2024, the resident transferred to a private room. R1’s admission agreement was again altered via handwritten note to show an effective date of August 3, 2024, with a new rate of $6500. R1 did not receive a written notice by the licensee documenting these changes. There are no signed documents with R1’s signature stating proof of notice was received. Thus, the allegation that the facility did not provide written notice prior to rent increase is Substantiated. Regarding the allegation the facility falsely claimed resident needed a higher level of care, R1’s initial Physician’s Report LIC 602A, dated November 3, 2023, stated R1’s primary diagnosis was Multiple Sclerosis. The report stated R1 had bowel and bladder impairment, motor impairment/paralysis, required continued bed care and has a history of skin condition or breakdown and is bedridden. The facility license, effective October 2, 1997, has a fire clearance for four non-ambulatory with a hospice waiver for two. R1 was initially admitted under the care of hospice services. Per interview with hospice agency, R1 was declining at a rapid rate and was not expected to live as long as R1 has. The Appraisal Needs and Services Plan, dated November 30, 2023, documents the need for a higher level of care in handwritten notes. These notes were handwritten over the initial Appraisal Needs and Services Plan and notates November 15 and November 21, 2023, assessments. It is unclear when the initial Needs and Services Plan was dated and signed due to page four of the document missing. An updated Physician’s Report was not found in R1’s records, indicating no change in R1’s medical condition from the initial needs identified and agreed to by the Licensee at the time R1 was admitted. An email on Friday, November 24, 2023, was provided to R1 stating a rate increase of $2000 due to higher level of care, with no clarification or documentation of the higher level of care required. Thus, the allegation that the facility falsely claimed resident needed a higher level of care is Substantiated. (Continued on LIC 9099-C1) (Continued from LIC 9099-C) Based on records reviewed and interviews conducted the preponderance of evidence standard has been met. Therefore, the allegations that the licensee did not provide written notice prior to rent increase and facility falsely claimed resident needed a higher level of care are Substantiated. The following deficiencies are being cited per California Code of Regulations, Title 22 Division 6. An exit interview was conducted with Maria Manimbo and a copy of this report, Confidential Names List, LIC9099-D, and appeal rights were provided.

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.

  • 1569.657(a)Type A

    For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident …written notice of the rate increase … The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not met as evidenced by: Based on Dept. record review, observations & interviews the licensee did not provide a written notice of a rate increase detailing additional services to be provided at new level of 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 Dept. record review, observations & interviews the Licensee claimed R1 required a higher level of care resulting in an increase of fees from $3500 to $6500. No increase in level of care was documented as required. This poses an immediate risk for residents in care.

  • 87205(a)Type B

    Accountability of Licensee Governing Body. The licensee..., shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement is not met as evidenced by: Based on Department record review, observations and interviews, the Licensee failed to maintain a budget in accordance with regulations and ensured facility compliance with Title 22. This poses a potential safety and personal rights risk for residents in care.

  • 87213Type A

    Finances. The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records;…This requirement is not met as evidenced by: Based on Dept. record review, observations and interviews the licensee failed to pay utility bills timely on multiple occasions and comingled Licensee’s personal funds and facility operating funds resulting in a negative working capital. This poses an immediate risk to residents in care.

  • 87405(h)(1)Type B

    Administrator – Qualifications and Duties The administrator shall have the responsibility to: Administer the facility in accordance with these regulations and established policy, program and budget. This requirement is not met as evidenced by: Based on Department record review, observations and interviews, the Licensee borrowed money from a resident; co-mingled funds and failed to maintain a budget in accordance with regulations. This poses a potential safety and personal rights risk for residents in care.

  • 87468.2(a)(8)Type A

    Additional Personal Rights of Residents in Privately Operated Facilities… residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To be free from…, financial exploitation,… This requirement is not met as evidence by: Based on Dept. records reviewed, observations & interviews, Text messages between Licensee and R1 confirm Licensee required advance payments from R1 on multiple occasions to help fund facility operations. This poses an immediate personal rights risk for persons in care.

  • 87507(d)Type B

    Admission Agreements (d) The licensee shall retain in the resident's file the original signed and dated admission agreement... This requirement is not met as evidenced by: Based on Department record review and interviews the licensee did not retain the original signed and dated Admission Agreement for R1. During records reviewed, the last page of R1’s original Admission Agreement containing R1’s signature was missing from file. This poses a potential personal rights risk for residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2026 inspection of 3K HOME CARE?

This was a complaint inspection of 3K HOME CARE on January 29, 2026. 2 citations were issued: 2 Type A (serious).

Were any citations issued to 3K HOME CARE on January 29, 2026?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident …wri..."

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.