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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880511
Report Date: 05/24/2022
Date Signed: 05/24/2022 01:02:10 PM

Substantiated


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
05/17/2022 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220517155645
FACILITY NAME:PALMS AT LA QUINTA, THEFACILITY NUMBER:
331880511
ADMINISTRATOR:PATRICK MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:45160 SEELY DRIVETELEPHONE:
(760) 345-5353
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY:120CENSUS: 88DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Roland Gandy - AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility confiscated resident's personal item
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced in order to initiate an investigation of a complaint with the above allegation(s). LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator Roland Gandy. Below is a summary of the complaint investigation findings:

Regarding allegation "Facility confiscated resident's personal item": LPA Colvin conducted interviews with resident(s), staff, and other related parties as well as reviewed records (such as Admissions Agreement and Addendums) for the resident (R1) in relation to this complaint. Administrator and Assistant Administrator both confirmed with LPA Colvin that a camera in R1's private studio was removed by staff and held by the facility until it was returned to R1's Power of Attorney (POA) at least 24 hours later. LPA Colvin inquired as to if R1 or R1's POA was informed of the removal of them item when this occurred, and LPA Colvin was informed that they did not contact anyone and R1 was not present. According to interviews conducted, POA was informed of this at their next visit to the facility, at which time POA brought up the matter having noticed it missing.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 18-AS-20220517155645
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: PALMS AT LA QUINTA, THE
FACILITY NUMBER: 331880511
VISIT DATE: 05/24/2022
NARRATIVE
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LPA Colvin inquired with staff as to why the camera was removed, and LPA Colvin was informed that the facility has a "no camera" policy. LPA Colvin was provided a copy of this policy upon request. The copy of the policy provided to LPA Colvin appeared to be from a training manual, as the header of the page had "Section Three: Executive Director". LPA Colvin inquired as to if this policy was provided to the residents and their responsible parties, as LPA Colvin did not observe anything regarding a "no camera policy" in R1's file or Admissions Agreement. Both the Administrator and Assistant Administrator were unsure if this information is provided to residents or their families. Due to facility staff removing the camera from R1's room without R1 (or R1's POA) knowledge or consent, and failing to inform R1 or R1's POA of the removal of the camera (which is not property of the facility) in a timely manner, the facility violated R1's personal rights. Therefore, based on interviews conducted, the allegation "Facility confiscated resident's personal item" is SUBSTANTIATED.

A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met.

Due to observations made by LPA Colvin, the facility was cited, and deficiencies noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy this report, LIC 9099D, and appeal rights were provided to Administrator Roland Gandy during the exit interview.


Note: Title 22 Regulations does not permit cameras in private resident areas (such as bedrooms or bathrooms). If a family wants to have a personal camera in their loved one's room, the facility may submit a request for an exception to Community Care Licensing. Additionally, LPA Colvin HIGHLY recommends that the facility distribute the "no camera" policy to all residents and resident responsible parties, and request signature or confirmation of receipt of said notice. LPA Colvin additionally recommends that any and all facility policies be added to the Resident Handbook and//or Admissions Agreement (changes or addendums must also be submitted to Licensing for record purposes).
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20220517155645
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: PALMS AT LA QUINTA, THE
FACILITY NUMBER: 331880511
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2022
Section Cited
CCR
87468.1(a)(12)
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Personal Rights of Residents in All Facilites: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (12) To wear their own clothes; to keep and use their own personal possessions.... This requirement was not met as evidenced by:
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Licensee agrees to reveiew Title 22 Regulations Sections regarding Personal Rights. Licensee to additionally conduct in-service with staff on personal rights of residents. Licensee may self-certify to LPA Colvin once complete. Plan of Correction due date 5/25/22.
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Based on interviews conducted, the Licensee did not comply with the above regulation with one resident. LPA Colvin confirmed that private property (camera) was removed from R1's room wihtout R1's (or R1's POA) knowledge or consent. This was an immedaite personal rights violation of R1.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
05/17/2022 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220517155645

FACILITY NAME:PALMS AT LA QUINTA, THEFACILITY NUMBER:
331880511
ADMINISTRATOR:PATRICK MCADOO-MORTONFACILITY TYPE:
740
ADDRESS:45160 SEELY DRIVETELEPHONE:
(760) 345-5353
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY:120CENSUS: DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Roland Gandy - AdministratorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff mistreated resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced in order to initiate an investigation of a complaint with the above allegation(s). LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator Roland Gandy. Below is a summary of the complaint investigation findings:

Regarding allegation "Staff mistreated resident": LPA Colvin conducted interviews with staff, residents, and other relevant parties to the complaint. LPA Colvin interviewed a sample of residents at the facility, and all of the residents interviewed denied any mistreatment on behalf of staff. LPA Colvin was unable to investigate any specific instances of mistreatment or any specific staff member, as the Reporting Party retracted their allegation and would not provide any additional information. Facility administrative staff additionally denied any knowledge of instances with staff metreating residents. Therefore, due to lack of evidence, the allegation "Staff mistreated resident." is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20220517155645
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: PALMS AT LA QUINTA, THE
FACILITY NUMBER: 331880511
VISIT DATE: 05/24/2022
NARRATIVE
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A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Administrator Roland Gandy and a copy of this report was provided.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5