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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880511
Report Date: 02/19/2021
Date Signed: 02/22/2021 01:42:42 PM

Document Has Been Signed on 02/22/2021 01:42 PM - It Cannot Be Edited

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: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: 76DATE:
02/19/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:17 AM
MET WITH:Ruth Fromme, AdministratorTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA), Stephanie Torres, contacted the facility via telephone to conduct an unannounced health and safety tele-inspection to address concerns relating to complaint #18-AS-20210218171854. The LPA identified herself and discussed the purpose of the call with Administrator, Ruth Fromme. The LPA conducted a virtual tour of the facility and conducted staff/resident interviews; no concerns were reported. No health and safety concerns were observed at time of visit.

An exit interview was conducted with Administrator Fromme via telephone and a copy of this report was provided via email and receipt of report confirmed.
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Stephanie Torres
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2021
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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