331880511-4-12-2021-18-AS-NBRN-C3CTSF-20210525145904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880511
Report Date: 04/12/2021
Date Signed: 04/12/2021 03:59:44 PM

Unfounded

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 MS29-26
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2021 and conducted by Evaluator Shaunte Henry

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210406113407

FACILITY NAME:	PALMS AT LA QUINTA, THE		FACILITY NUMBER:	331880511
ADMINISTRATOR:	PATRICK MCADOO-MORTON		FACILITY TYPE:	740
ADDRESS:	45160 SEELY DRIVE		TELEPHONE:	(760) 345-5353
CITY:	LA QUINTA	STATE: CA	ZIP CODE:	92253
CAPACITY:	120	CENSUS: 78	DATE:	04/12/2021
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Michelle Walker, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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9

Staff are not adequately supervising resident.
Staff are financially abusing resident.

INVESTIGATION FINDINGS:

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2
3
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5
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On 4/12/21 Licensing Program Analyst (LPA) Shaunte Henry conducted a tele-inspection due to COVID-19 in order to investigate the above allegations. LPA Henry spoke with administrator Michelle Walker and explained the purpose of the tele-visit.

An interview with the administrator revealed that Resident 1 (R1) does not reside in the facility that is licensed by Community Care Licensing (CCL). Resident 1(R1) lives in the independent living unit of the property and does not receive care or supervision by the licensed facility staff. The allegations that staff are not adequately supervising the resident and staff are financially abusing the resident are both UNFOUNDED. This agency has investigated the complaint allegations. We have found that the complaint was UNFOUNDED meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted where this report was discussed with and provided to the administrator.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Edna Musoke
LICENSING EVALUATOR NAME: Shaunte Henry
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2021

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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