361880681-8-8-2023-56-AS-NBRN-CVSPXK-20230918114224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880681
Report Date: 08/08/2023
Date Signed: 08/08/2023 11:59:15 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
07/20/2023 and conducted by Evaluator Amber Coleman

COMPLAINT CONTROL NUMBER: 56-AS-20230720155918

FACILITY NAME:	SUNSHINE BOARD & CARE		FACILITY NUMBER:	361880681
ADMINISTRATOR:	HAMED, NAJEH		FACILITY TYPE:	740
ADDRESS:	720 N LINDEN AVE		TELEPHONE:	(786) 219-6008
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	12	CENSUS: 10	DATE:	08/08/2023
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Najeh Hamed, Administrator		TIME COMPLETED:	12:50 PM

ALLEGATION(S):

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Staff did not prevent a resident from hitting another resident.
Staff are not providing resident with his PNI.
Staff are not safeguarding resident's personal belongings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Sunshine Board and Care Residential Care Facility for the Elderly to deliver the findings of the complaint investigation. LPA was greeted by Administrator, Najeh Hamed. LPA introduced self and stated the purpose of the visit.

It is alleged that staff did not prevent a resident from hitting another resident. Resident interviews revealed that approximately one month ago. Residents were standing outside the front of the facility awaiting transportation. A resident approached another resident and hit him in the face closed hand. There were no other witnesses to the incident. No reason or cause for the physical altercation is noted. The incident was not reported to staff. According to the Community Care Licensing Duty Log there were no Special Incident Reports filed that involved a physical altercation between two residents. Staff denied witnessing or having knowledge of a physical altercation outside the facility a month ago.

Please see 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20230720155918

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SUNSHINE BOARD & CARE	FACILITY NUMBER: 361880681
	VISIT DATE: 08/08/2023

NARRATIVE

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It is alleged that staff are not providing the residents with their P and I benefits. During resident interviews, LPA learned that staff provided documentation to the resident to sign up for Resource Oversight and Guidance, (ROG) There after the resident was told he would be earning $150 a month. Staff interviews revealed that the resident utilizes a Representative Payee Service to manage his finances. Resident’s benefits are sent to ROG. ROG in turn pays the resident’s bills and sends the remaining benefit to the residents separately. The amount of the benefit is based on the Social Security Award or the income source itself. According to the Administrator, ROG will cut two checks. One for the rental expenses to the facility and the other for the resident to spend as needed. This process takes place every month. ROG charges a fee for their services. It is not unusual for residents to complain they are not getting enough money. Staff do not determine the amount of benefit(s) residents receive. The amount is set by a third party. Staff deny that there have been any discrepancies with the residents in cares’ benefit. LPA reviewed P and I records and found they support and are consistent with what is reported. Furthermore, LPA contacted ROG services, and learned that the information provided was aligned with statements of the Administrator.

It is alleged that staff are not safeguarding resident’s belongings. According to resident interviews, resident enter each other’s rooms and take their belongings and money. These incidents were not reported to staff or the Administrator at the time of occurrence. Nor reported to the Police Department, for reasons unknown. Staff denied that residents enter each other’s rooms and take their belongings and money. Staff also denied witnessing or having any knowledge of theft occurring in the facility. LPA searched the Community Care Licensing Duty Logs; there were no Special Incident Reports filed which involved theft or loss.

Based on observations, interviews and record reviews; we have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023

LIC9099 (FAS) - (06/04)

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