331800103-2-7-2022-18-AS-DMUN-CBK2GU-20220211162342

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800103
Report Date: 02/07/2022
Date Signed: 02/07/2022 03:51:52 PM

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
07/13/2021 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210713130304

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:	DATE:	02/07/2022
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Staff and designee not available, facility closed 1/6/2022		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility overcharged resident on two occasions
Facility refuses to provide invoice/monthly bill
Facility phone not working

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tricia Danielson phoned designee Mark Hellickson in an effort to deliver finding of an investigation into the allegations listed above. LPA was unable to make contact with Hellickson and although LPA requested a return call, one was not received. Regarding the allegation "facility overcharged resident on two occasions", it was alleged that Resident #1 (R1) had been charged more than the monthly agreed upon rate during the first and second months of their residency in 2019. Interview with R1's responsible party revealed the facility's monthly automatic bank withdrawal payment processor withdrew four times the agreed upon amount during the first month of R1's residency in 2019 and three times the agreed upon amount on the second month of R1's residency. Interview with R1's responsible party revealed these withdrawals were made in error and the overpayments were refunded. Regarding the allegation "facility refuses to provide invoice/monthly bill", it was alleged that the facility had refused to provide the June 2021 and July 2021 monthly billing statements due to an internet outage at the facility. Interview with facility staff revealed the internet had been out on the day the June 2021 and July 2021 billing statements were requested and therefore could not be provided at that time and until the internent had been restored. Interviews conducted also revealed the facility did not refuse to provide the requested billing statements.
(CONTINUED ON LIC 9099C)

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022

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 18-AS-20210713130304

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: LEGEND GARDENS	FACILITY NUMBER: 331800103
	VISIT DATE: 02/07/2022

NARRATIVE

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(CONTINUED FROM LIC 9099)
The billing statements were provided as requested once internet service was restored to the facility. Billing records reviewed also revealed payments for June 2021 and July 2021 had been made. Eight (8) of eight (8) residents, two (2) of two (2) staff, and one (1) of one (1) witnesses interviewed denied any issues with the billing process or instances of overbilling. Regarding the allegation "facility phone not working", it was alleged that the facility did not have phone service and also utilized an answering service. Interviews conducted with facility staff revealed the facility does have phone service and utilizes an answering service to ensure no calls or messages are missed. Staff also reported the answering service is utilized so staff do not have to be taken away from assisting a resident in order to answer the phone. Staff reported all calls and/or messages to the service are relayed to facility cellphones monitored by the Lead Med Tech on duty and the Administrator. The calls and/or messages are then routed to the appropriate person and calls are returned as the staff are able. Interviews also revealed that all facility phones have the ability to dial out and are accessible to any resident and/or staff at anytime. Eight (8) of eight (8) residents interviewed and one (1) of one (1) witnesses interviewed denied experiencing any issues related to phone service at the facility.

This agency has investigated the complaint alleging "Facility overcharged resident on two occasions", "Facility refuses to provide invoice/monthly bill", and "Facility phone not working". We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

An exit interview was not able to be conducted however, a copy of this report along with LIC 811- Confidential Names List was sent via email to designee at m.hellickson@icloud.com.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022

LIC9099 (FAS) - (06/04)

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