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Inspection visit

Complaint

TWAIN RESIDENTIAL CARE, LLCLicense 374603112
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

[CONTINUED FROM LIC 9099] According to the San Diego County Office of the Public Administrator / Public Guardian, R1 is not conserved, but in the past, had a temporary guardian. Their office formally reassessed R1 in 2020, and determined that R1 no longer met criteria for guardianship. CCLD determined that the phone number provided for P1 was correct, by verifying it against multiple outside sources. However, multiple attempts to reach P1 on separate days all led to a non-working telephone number. R1 has lived at the facility since 2020, and their spouse, Resident #2 (R2), has lived at the facility since 2016. By the time frame of the Department’s investigation in September 2021: R1 was cognitively impaired but remained alert and able to express basic opinions in simple sentences, and R2 was oriented to person, place, time, and reality. Staff and outside sources unanimously reported being unable to contact P1, and that P1 had zero involvement with either R1 or R2 during the entirety of their stay at the facility. Interviews with R1, R2, and a credible outside source [Person #2 (P2)] revealed that P1 was a former friend, who R1 no longer trusts nor wishes to associate with. R2 and P2 stated they did not believe that P1 was ever R1’s conservator or guardian, even in the past. Per interview of Licensee: a) at time of R1’s move in, licensee was completely unaware of who P1 was, b) at time of R1’s move in, R1 was ambulatory, able to drive a car, able to manage their own finances, and cognitively independent, and c) much later during R1’s tenure at the facility, R1 revealed to licensee that P1 was a temporary guardian who was assigned to R1 following an acute fall which R1 suffered at their private residence before move-in to the facility, and that P1 was no longer R1’s guardian. Interviews, admissions agreements, and facility records corroborated: a) R1 was the payee and responsible party for R2 during the many years R2 resided at the facility, b) R1 was their own payee and responsible party when they later moved in, and c) Until around March 2021, R1 had been correctly paying rent to the facility for many years. Licensee thus had no reason to suspect R1 should have a guardian or responsible party other than themselves. [CONTINUED ON LIC 9099-C, 2 of 2] [CONTINUED FROM LIC 9099-C, 1 of 2] According to multiple interviews, by September 2021, R1 and R2 had run out of paper checks, had run low on funds, and were nearly six months behind on rent to the facility. Licensee stated he was committed to the welfare of R1 and R2 and was emotionally unwilling to pursue eviction. On August 24, 2021, Licensee made his facility available as a meeting place so that R2 could designate P2 as their Power of Attorney (POA), and to have said document notarized on-site. This action benefited both R2 and Licensee. [R1 still did not have a POA as of that date.] Based on records and interviews, a preponderance of evidence does not exist to support the allegation that Licensee interfered with resident’s guardianship. The allegation is therefore unsubstantiated. An exit interview was conducted with Sanga and Simsuangco. A copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided to the administrator via E-mail.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the November 12, 2021 inspection of TWAIN RESIDENTIAL CARE, LLC?

This was a complaint inspection of TWAIN RESIDENTIAL CARE, LLC on November 12, 2021. The inspection found no deficiencies and no citations were issued.

Were any citations issued to TWAIN RESIDENTIAL CARE, LLC on November 12, 2021?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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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