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Inspection visit

complaint

RENAISSANCE LIVING IILicense 374604105
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Regarding the sale of the residents’ property in El Cajon, according to R1’s and R2’s property loan terms, California Real Estate Listing Agreement and California Real Estate Purchase Agreement, the owners must reside within their own home to avoid a repayment clause. Because the residents were relocated to the residential care facility after their discharge from a skilled nursing environment, the repayment clause was triggered. In addition, to qualify for Veteran’s Administration (VA) Benefits Aid and Attendance, outside source documents corroborated that in order to allow for R2’s uninterrupted care, $84,500 from the sales proceeds was required to satisfy the VA benefits eligibility. This sale proceed is to be applied to the board and care agreement for assisted living services and room and board. The agreements also show that R1’s signature was on both forms. Thusly, R1 entered into the sale agreement and the contract for the uninterrupted care at the assisted living facility without coercion. Review of the financial ledgers indicate that the facility received $106,596 in total income from the residents for the board and care stay from August 2019 through May 2020, including the $84,500 advance payment. Facility’s board and care services for both residents during this time period were audited in the amount of $98,884.95 and includes rent payments in the amount of $5,000 for R1 and $6,000 R2--$1,000 for additional services for R2’s health conditions--and prorate adjustments in the amount of $4,451.61 for August 2019 and $1,333 May 2020. The resident, or their responsible party, is owed $7,711.05. According to San Diego County records, as of May 21 st , 2020, the value of the resident’s property in El Cajon ranged from $329,406 - $471,984. Outside source observation in June of 2020 reported that the property’s external condition is very poor. A market difference of $4,406 for a house sold in August 2019 is not extreme as the house value has increased in recent market conditions. Financial documents show that the R1 also received a difference of $78,065.53 after the sale of the home, rent deductions, VA benefits adjustment, and repayment clause trigger. Kelly blue book records show that the market value of the vehicle was between $2,514 - $4,637 for a 1993 Toyota Pre-runner. Interviews also indicate that R1 was not under coercion at the time of the sales of the properties. (continued) Based on the available information through records and interviews, evidence could not corroborated that R1 was financially exploited through the sale of their properties to the licensee for payments of room and board. Even though the resident, or their representative, is owed a refund, the amount due is accounting for unsettled prorate funds. Therefore, this allegation is unsubstantiated which means that the preponderance of the evidence standard has not been met. It was also alleged that residents were not being provided food and water. Based on interviews and observations, the facility has an ample supply of food and that residents, including R1 and R2, were provided meals and liquids to meet their needs. Records review show that R1 did not require a special diet where licensee would have to meet a prescribed order. Therefore, this allegation is also unsubstantiated because the preponderance of the evidence standard has not been met. An exit interview was conducted and a copy of this report and Licensee’s Rights (9058 01/16) were provided to the licensee by electronic mail. An e-mail receipt confirms the acknowledgement of these documents.

Citations

3 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.

  • 1569.269(a)(21)Type B

    1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (21) To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days... This requirement was not met as evidenced by: Based on records and interviews, the Licensee did not provide prompt access to resident records. This posed a potential personal rights risk to one of the five residents in care.

  • 87507(a)(1)(B)Type B

    87507 Admission Agreements (a) … (1) The text of the admission agreement, including any attachments and modifications, shall be: (B) Written in clear, understandable, coherent, and unambiguous language, using words with common and everyday meanings, and shall be appropriately divided with each section appropriately titled. This requirement was not met as evidenced by: Based on records review and interviews, the admission agreements for six out of seven residents contain ambiguous language regarding pre-admission fees. This posed a potential financial risk to all residents in care.

  • 87507(g)(3)(B)(2)Type B

    87507 Admission Agreements (g) Admission agreements shall specify the following (3)...(B) Rate for additional items and services, including: 2. A separate charge for an item or service may be assessed only if that charge is included in and authorized by the admission agreement. This requirement was not met as evidenced by: Based on records and interviews, the licensee charged resident #1 for a service that was not included and authorized by the admission agreement. This posed a potential financial risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 20, 2021 inspection of RENAISSANCE LIVING II?

This was a complaint inspection of RENAISSANCE LIVING II on August 20, 2021. The inspection found no deficiencies and no citations were issued.

Were any citations issued to RENAISSANCE LIVING II on August 20, 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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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.