331800103-12-2-2021-18-AS-TDAN-C9C77F-20211202202437

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 331800103
Report Date: 12/02/2021
Date Signed: 12/02/2021 08:24:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	LEGEND GARDENS		FACILITY NUMBER:	331800103
ADMINISTRATOR:	PENDING		FACILITY TYPE:	740
ADDRESS:	73685 CATALINA WAY		TELEPHONE:	(760) 773-3115
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	96	CENSUS: 32	DATE:	12/02/2021
TYPE OF VISIT:	Case Management - Legal/Non-compliance	UNANNOUNCED	TIME BEGAN:	03:25 PM
MET WITH:	Carrie MacDonald, Community Relations Director		TIME COMPLETED:	08:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Regional Managers (RMs) Reyna Lacey and Leslie Mendiveles, Licensing Program Manager (LPM) Debbie Mullen, Licensing Program Analysts (LPAs)Tricia Danielson, Stephanie Torres, David Cuevas, and Javina George arrived unannounced to the facility to delivery an Accusation (Appointment of Temporary Manager) and issue a Temporary Suspension Order (TSO) to Licensee Prospect LG LLC and facility personnel. RMs, LPM, and LPAs met with Community Relations Director (CRD) Carrie MacDonald. Licensee Prospect LG LLC CEO Mark Hellickson was not present. RM Reyna Lacey explained the purpose of today's visit and the meaning of the accusation which indicates that as of December 2, 2021, the facility is determined to be operating under circumstances which present a substantial probability of imminent danger of serious physical harm or death to residents of the facility, as follows: Licensee is insolvent Licensee has failed to submit a viable financial plan to the Department Licensee has failed to secure a qualified administrator Licensee has been uncooperative in their responsibilities to the facility The Department has appointed R2R Ventures as the temporary manager of the facility as Licensee is unwilling or unable to comply with Health and Safety Code requirements to provide a safe environment for residents in care as ordered to do so by the Department or when otherwise required by law. The written accusation and order were provided to CRD MacDonald in the absence of Prospect LG LLC and/or Mark Hellickson. RM Reyna Lacey explained the procedure to appeal this action, if chosen to do so. CRD MacDonald was informed that the facility must cooperate with the Department, the Ombudsman’s office and the families and/or the responsible parties, if applicable, in helping the residents to relocate. CRD MacDonald (CONTINUED ON LIC 809C)

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

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

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: LEGEND GARDENS	FACILITY NUMBER: 331800103
	VISIT DATE: 12/02/2021

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(CONTINUED FROM LIC809)
was advised that she must provide each responsible party the phone number for the Riverside Ombudsman’s office. In addition, Prospect LG LLC and/or Mark Hellickson is hereby directed to refund a proportional per diem amount of any prepaid monthly fees, to the resident or their legal representative at the time the resident leaves the facility and the unit is vacated. CCL staff contacted the responsible parties for each resident to inform them of the need to relocate the residents. The residents and their responsible parties will be provided with a listing of all RCFEs in the area and will be directed to contact LPM Mullen or LPA Tricia Danielson for further information regarding the closure of the facility and how to relocate to another RCFE for each resident.

An exit interview was conducted with CRD MacDonald and a copy of this report along with a notice to request a hearing to contest the appointment of the temporary manager and TSO was provided.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

LIC809 (FAS) - (06/04)

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