Follow-up·May 20, 2025

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to deliver complaint findings and in conjunction conducted this case management visit. LPA Lopez identified herself and was granted entry by caregiver Jonathan Luciano. LPA Lopez stated the purpose and reviewed basic elements of the case management visit with licensee Paulo Ordinanza who later arrived to join the visit. The Department reviewed facility records , which included admission agreements, Physician’s Report’s, and Individual Service Plans (IPP) for Resident #1 (R1) and Resident #2 (R2). Based on records review, R1 and R2 were not able to manage their own cash resources due to underlying cognitive medical conditions. According to R2’s admission agreement, they were responsible for partial payment toward their rent which was to be paid from their SSI funds. The Department obtained financial statements and bank surveillance from 11/2024 through 01/2025 which indicated that withdrawals were made for R1 and R2 with the assistance of Staff #1 (S1) and Staff #2 (S2). The Department interviewed S1 who reported that $171.86 cash was withdrawn to purchase items for R1. On 04/08/2025 , the Department requested receipts from S1 for the items purchased for R1, however they were unable to provide receipts after searching for the documents. Facility invoices were subsequently inspected for R2 which revealed that three separate payments for R2’s “SSI portion” were made to the facility in the amount of $1,398.07 on 11/19/25, 11/27/25, and 12/7/25. Three additional payments were recorded in the amount of $1,420.07 on 1/6/25, 2/6/25, and 3/6/25. The Department inspected the facility’s Record of Client’s/Resident’s Safeguarded Cash Resources (LIC405) for R1 and R2 dated 2/22/23 – 11/9/2024 which revealed that entries were not made for the aforementioned expenditures. (Continuation on LIC809-C) (Continuation of LIC809) There were deficiencies cited during today’s visit and may be found on the LIC809-D page of this report. An exit interview, and a plan of correction was jointly developed, with licensee Paulo Ordinanza. A copy of this report, along with the Licensee Rights (LIC9058 03/22) were provided to licensee Ordinanza at the conclusion of the visit. The signature below confirms the documents were received.