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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880681
Report Date: 09/23/2021
Date Signed: 09/23/2021 12:06:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/26/2021 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210326083509
FACILITY NAME:SUNSHINE BOARD & CAREFACILITY NUMBER:
361880681
ADMINISTRATOR:HAMED, NAJEHFACILITY TYPE:
740
ADDRESS:720 N LINDEN AVETELEPHONE:
(786) 219-6008
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:12CENSUS: 11DATE:
09/23/2021
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Caregiver Estrella HellerTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff misused resident's finances.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javina George made an unannounced visit to deliver findings for the allegation listed above. LPA met with Caregiver Estrella Heller, Administrator was avialble via telephone and explained the purpose of the visit, and elements of the allegation. The allegation was investigated by the department. The investigation consisted of interviews, and review of facility documentation.

On April 1, 2021 LPA George interviewed the previous facility Licensee Lilibeth Swanson of Sunshine Inc., who admitted that she did ask Resident #1 (R1) for money. Previous Licensee used the monies received from R1 to pay for Swanson’s child16th birthday party. Swanson agreed the amount of monies taken from R1 is equal to the sum of around $10,000. Lilibeth stated “What I did was wrong, and I apologize as well accept it 100%, I plan on paying it back and I will give interest. I was paying $100 every week, here and there.” As of April 1, 2021, R1 stated to have received in payment roughly $1,900 back.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 18-AS-20210326083509
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNSHINE BOARD & CARE
FACILITY NUMBER: 361880681
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/07/2021
Section Cited
CCR
80026(b)
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80026 Safeguards for Cash Resources, Personal Property, and Valuables of Residents
(b) If such a client is accepted for or maintained in care, his/her cash resources, personal property, and valuables not handled by a person outside the facility who has been designated by the client or his/her authorized representative shall be handled by the licensee or facility staff, and shall be safeguarded in accordance with the requirements specified in (c) through (n) below
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The licensee agrees to conduct an inservice on personal rights. Proof is to be submitted to the department by 5pm on the due date indicated.
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This requirement is not met as evidenced by: Based on observation, interview and record review the licensee did not safeguard R1s cash resources. This is a potential health, saftey and personal rights risks to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20210326083509
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SUNSHINE BOARD & CARE
FACILITY NUMBER: 361880681
VISIT DATE: 09/23/2021
NARRATIVE
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According to interviews conducted, there was a verbal agreement between R1 and Swanson that the money would be back paid on a weekly basis, however the payments stopped in February 2021. R1 kept the money in their however estimates that the money was first given out from their Chase bank account in 2018. Swanson would transport R1 to the bank where R1 would withdraw the money and then gave the funds to Swanson. Note that these transactions occurred prior to the facility had a change of ownership in October 2019.

According to facility Administrator Najed Hamed once he became aware of what happened made an attempt made to file a police report, however, law enforcement instructed against and suggested to take the matter to small claims court. Administrator stated that R1 does not have bank statements or receipts proving that the transaction occur. Based on Swanson’s direct statements admitting to taking R1s money for personal use; LPA found that Swanson being a previous licensee misused R1s money by taking and spending the money in personal matters; as such the allegation Staff misused resident's finances is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.


An exit interview was conducted and a copy of this report, 9099D and appeal rights was provided to Caregiver Estrella Heller.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3