Casa De Las Campanas

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff financially abused resident in care.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to deliver findings for a complaint investigation regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Residential Administrator Tyre Richards. On 08/07/2025, the Department received a complaint where it was alleged that a resident (identified as R1) had tried to withdraw a substantial amount of cash from their bank, stating that the purpose of the money was to give to a friend. Per the complaint, it was believed that the friend in question was a caregiver at the facilty. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources. [Continued on LIC 9099-C] Unfoundedthe state’s words, verbatim · CDSS document, Jan 6, 2026 · control 08-AS-20250807160532

Allegation investigated: Lack of supervision.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to deliver findings for a complaint investigation regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Residential Administrator Tyre Richards. On 10/22/2025, the Department received a complaint where it was alleged that a private caregiver for a resident at the facility was clocking in for shifts at the facility they were not physically present for. Per the complaint, this had been going on for a period of three (3) weeks. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff and outside sources. [Continued on LIC 9099-C] Unfoundedthe state’s words, verbatim · CDSS document, Jan 6, 2026 · control 08-AS-20251022140438

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Provider made material representation about accepted heathcare and changes to the Continuing Care Contracts that were not previously approved by residents or the Continuing Care Contracts Bureau

Complainant alleges that the Provider made material misrepresentation about accepted healthcare and changes were made to the Continuing Care Contracts that were not previously approved by residents or the Continuing Care Contracts Bureau. The Department interviewed complainant and Kim Dominy, Executive Director and reviewed the Continuing Care Contract, Quick Guide: Insurance for Health Center Stays and documentation that was provided to Casa residents regarding Medicare vs Medicare Advantage HMOs. The continuing care contract required residents to “enroll at your own expense in Medicare (Parts A and B)”. Furthermore, the contract states “If you choose HMO coverage rather than Medicare, Casa reserves the right to charge you market rates for any services you receive”. On September 22, 2023, Provider provided a Quick Guide which included a list of approved insurers and insurance companies that will no longer be contracted with Casa effective January 1, 2024. The document clarifying coverthe state’s words, verbatim · CDSS document, Mar 7, 2024 · control 08-AS-20231115144424

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff drinking while on duty

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation to conduct additional interviews, and deliver complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Administrator Brooke Harris. Throughout the investigation, the Department secured pertinent records and conducted interviews with internal and external sources. It was alleged staff were drinking while on duty. On 7/17/23, It was reported to the department that during a meeting, staff had consumed alcohol prior to returning to their regular duties. Interviews with internal sources revealed an additional incident where it was reported staff may have consumed alcohol. Additional interviews denied the consumption of alcohol while on duty, or did not corroborate staff had witnessed any staff had consumed any alcohol while on duty. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 27, 2023 · control 08-AS-20230717163138

Allegation investigated: Neglect/Lack of Supervision resulted in resident sustaining injury

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Executive Director Kim Dominy, to whom LPA explained the purpose of the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of LPA observation, review of records and interviews. It was alleged that Neglect and or Lack of Supervision resulted in resident sustaining injury. It was reported that Resident 1 (R1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the resident) sustained a "suspicious" laceration on R1's upper left arm. Records review revealed the injury R1 sustained was documented on the internal staffing notes on September 8, 2023. On the same day, September 8, 2023, R1's hospice physician sent written orders for R1's skin tear injury. R1's physicians report revealed R1 develops one skin tear almost wethe state’s words, verbatim · CDSS document, Oct 25, 2023 · control 08-AS-20230928085817

Allegation investigated: Licensee did not provide adequate notice for fee increase

Complainant alleges that the Provider did not provide adequate notice of fee increase to residents which is in violation of Health & Safety Code (H&SC) §1771.8(d). The Department interviewed the complainant, Bob Lange, former Resident Representative, and Kim Dominy, Executive Director – CdlC on July 17, 2023, July 18, 2023 and August 3, 2023, respectively and received the following documents: • Letter to CCRC residents dated 6/30/23 notifying of MCFI increase • Letter to non-CCRC residents dated 7/1/23 notifying of MCFI increase • Memo to residents dated 6/16/2023 notifying of 2023-2024 Budget Presentation Meeting • Budget Calendar Draft 2024 • Budget Presentation 2023-2024 • Resident Forum Summary dated 7/17/2023 Upon completion of review of information provided and interviews conducted, it was observed that the providers did notify the CCRC residents of the upcoming MCFI during the 2023-2024 Budget Presentation Meeting that was held on June 30, 2023. During the meeting the residentsthe state’s words, verbatim · CDSS document, Sep 20, 2023 · control 08-AS-20230718163927