complaint·August 8, 2024

File review began at 12:30 p.m. and one (1) resident interview at 1:16 p.m. During the week of 5/20/2024, LPA Cortez interviewed six (6) Tri-Counties Regional Center (TCRC) Service Coordinators (SC) via email correspondence. On 08/07/2024, LPA Cortez toured the facility with Interim Administrator Leticia at 12:43 p.m. and conducted a file review at 1:18 p.m. In addition, Interviews and file reviews conducted by LPA Cortez on 02/16/2024, 05/23/2024 and 05/24/2024 as part of a separate compliant investigation (CC# 29-AS-20230406155619) with similar allegations were incorporated and reviewed for the purpose of this investigation; this includes any relevant findings, witness statements, and documented evidence. Staff are stealing the residents personal funds On the allegation that Staff are stealing the residents’ personal funds it is the concern of the reporting party that staff are stealing resident’s money. No additional information was provided about the residents’ identifiers. No contact information was provided for the reporting party to obtain additional information about this allegation. To investigate the allegations resident and staff interviews and file reviews were conducted by LPA Cortez and LPA Cortez also conducted interviews with residents’ Service Coordinators from TCRC. Resident interviews conducted regarding the above allegation revealed that they have not had anything go missing or stolen from their rooms. Staff interviews conducted revealed that they were not aware of any issues or concerns of any stolen items. Interview with past administrator Gary revealed that they or staff do not touch any of the resident’s money. For residents who do not receive services through TCRC, the administrator will purchase anything necessary for them with the money provided by the facility and then the resident’s family will reimburse the administrator. Furthermore, for the residents with TCRC, they have a process in place where the resident's funds are managed by the facility’s corporate office accounting staff alongside Trust Management Services (TMS) provided by TCRC. Anytime a resident wants to purchase something the money is given to them and the resident signs receipt for the amount given. If there’s a particular item that the resident wants to make online, the administrator will assist the resident with the purchase and will save copy of the receipt. Administrator interview and file review also revealed that the administrator keeps records of all transactions and receipts and sends out to accounting for reimbursements. Interviews conducted with TCRC SC revealed that almost all the residents have a service coordinator who visits them once every three months and provide services depending on the resident. Six (6) of six (6) service coordinators interviewed revealed that residents’ funds are managed by TMS and have no concerns regarding the residents’ finances. Based on the investigation, there is insufficient evidence to support the claim that Staff are stealing the resident’s personal funds. This allegation is deemed Unsubstantiated at this time. REPORT WILL CONTINUE ON LIC9099-C (3RD PAGE). Staff are allowing residents with prohibited health conditions to reside in the facility. On the allegation that Staff are allowing residents with prohibited health conditions to reside in the facility; it is the concern of the reporting party that staff are keeping residents with prohibited health conditions and hiding skin tears and prohibited health conditions. No additional information was provided by the reporting party about the resident(s) who exhibited prohibited health conditions, or how to the reporting party acquired the information. No contact information was provided for the reporting party to obtain additional information about this allegation. To investigate the allegation, the LPA conducted a tour of the facility on 08/07/2024, conducted a file review for six random selected residents and conducted interviews with staff and resident’s service coordinators from TCRC. During the tour the LPA observed all residents who were present either eating in the dining room, watching TV in the living room, or in their room and did not observe any gastrostomy tubes, naso-gastric tubes, tracheostomies, or any other type of visible prohibited health conditions. File review revealed that one (1) out of six (6) residents had a history of a stage 2 wound on their left foot in 2023 however they were being treated by home health and the wound healed. Six (6) out of six (6) staff interviewed regarding this allegation revealed that they do not have any resident with prohibited health conditions including open wounds. Interviews conducted with TCRC SC revealed that almost all the residents have a service coordinator who visits them once every three months and provide services depending on the resident. Services can range from crisis support, funding, and supplemental support among other services. Six (6) of six (6) service coordinators interviewed revealed that all ten (10) residents that they assist do not have any history of skin tears or prohibited health conditions. Based on the investigation, there is insufficient evidence to support the claim that Staff are allowing residents with prohibited health conditions to reside in the facility. This allegation is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. A copy of the report was issued to the Interim Executive Director Leticia Hernandez.