Office review·May 1, 2023

A Non-Compliance office meeting was conducted today in the Santa Rosa Regional Office via Microsoft Teams. Present in the meeting were acting Regional Manager Stephenie Doub, Licensing Program Manager Kimberley Mota, Licensing Program Manager Liza King, Auditor Diana Chapman, Audit Manager Jacqueline Juarez, Licensing Program Analyst Araceli Canela, Licensee Warren Delfin, Facility Administrator Michelle Jangar, Facility Administrator Renato Yamat, and Facility finance staff Maximina "Ami" Landicho. This Non-Compliance Plan Conference is being conducted to discuss concerns identified by the Licensing Agency in regard to the findings of a recent solvency Audit that was conducted for the following facilities Providence Home of Aragon #486803945; Providence Home of Fairfield #486803888; Providence Home of Hillview #486803890; Providence Home of Vallejo #486803850 and Providence Home of Modesto #50270093 owned and/or operated by Warren Delfin. The financial audit documents showed the licensee does not have a sound financial plan and has negative equity. The facility is generating enough income to meet its expenses; However, expenses are not being paid; the amount of money being sent out of the facility account is negatively affecting the licensee’s solvency. Licensee is not managing finances of the facility in a manner that ensures solvency and there is a lack of control over the finances. Operating expenses were reviewed for Bank statements and cash reserves; Utilities; Rent; and Food. The licensee did not pay operational expenses timely. In Addition, there are tax liens against the facility. Continue report see LIC809-C Facility was placed on a compliance plan for 1 year. Licensee has been advised that failure to complete the agreed upon actions by the dates given, will result in this Department taking the following action(s): Facility agrees to provide quarterly financial documents for the month of May/June/July 2023; by August 18,2023. Records for the month of August/September/October 2023 by November 17,2023. Records for November/December 2023 and January of 2024 by February 16, 2024, and February/March/April 2024 by May 17, 2024. Facility agrees to ensure proper bookkeeping and having adequate Finance staff and not commingle funds between all five (5) licensed facilities. Facility agrees to submit copies of proper 60-day resident eviction notices regarding Providence Home of Modesto #50270093 by May 5, 2023. Facility to ensure food costs are related to the resident census per facility. Failure to comply with the terms and conditions of the one-year compliance plan may result in administrative action. Facility is subject to increased quarterly monitoring to ensure compliance. Licensee was provided the following regulations: CCR, Title 22, Division 6, Chapter 8, Section 87213, Finances CCR, Title 22, Division 6, Chapter 8, Section 87205, Accountability CCR, Title 22, Division 6, Chapter 8, Section 87555, General Food Service Requirement CCR, Title 22, Division 6, Chapter 8, Section 87405, Administrator Qualifications and Duties No citations were issued at this time. LPA will review and issue citations that may be warranted. A copy of this report was emailed to Administrator/Licensee, signature in file.