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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880511
Report Date: 03/19/2026
Date Signed: 03/19/2026 01:37:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
10/27/2021 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20211027154457
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:0CENSUS: 0DATE:
03/19/2026
UNANNOUNCEDTIME BEGAN:
01:07 PM
MET WITH:Closed FacilityTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility failed to meet resident's dietary needs
Facility failed to meet resident's hygiene needs
Facility failed to meet resident's medical needs
Facility failed to provide responsible parties with copies of admission agreement
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon mailed this report to the ex-licensee’s last known mailing address via USPS certified mail, to communicate the findings related to the above-mentioned allegations. The facility has been closed since 07-03-2025. The Department’s investigation involved interviews with staff and reviews of records.

On 10-27-2021, Community Care Licensing (The Department) received a complaint report with the following allegations.

It was alleged that facility failed to meet resident’s dietary needs. Information received indicated that Resident #1 (R1) required “no added sugar” diet. R1’s relevant party was advised by the R1’s physician that R1’s blood sugar level was too high. A review of records by LPA showed that R1 resided at the facility from October 1, 2020, to October 10, 2020, before passing away on October 20, 2020, while under hospice care. Continued on LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
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 3
Control Number 18-AS-20211027154457
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PALMS AT LA QUINTA, THE
FACILITY NUMBER: 331880511
VISIT DATE: 03/19/2026
NARRATIVE
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The LPA’s review of R1’s care plan revealed no requirement for a special diet. Furthermore, blood sugar logs from R1’s 10-day residency showed that their sugar levels gradually dropped. During an interview, Staff #1 (S1) stated they contacted R1’s physician for a dietary re-evaluation a few days after admission. The Department’s investigation did not find enough information to corroborate the allegation that facility failed to meet resident’s dietary needs. Based on records review and interviews conducted, this allegation is unsubstantiated.

It was alleged that facility failed to meet resident’s hygiene needs. Information received indicated that R1 did not receive their first bath until 5 days after R1’s admission. The Department conducted an interview with S1 who stated that the facility did not receive any complaints regarding R1’s hygiene or bathing needs. LPA’s records review revealed that R1 had resided at the facility for only 10 days and was scheduled to receive two (2) shower/bath per week. An attempt to review bathing logs was unsuccessful as the record retention period had expired. Due to the short length of residency and the lack of available records, the Department’s investigation did not provide enough information to corroborate the allegation that facility failed to meet resident’s hygiene needs. This allegation is unsubstantiated.

It was alleged that facility failed to meet resident’s medical needs. Information received indicated that the facility staff did not check R1’s blood sugar level once in the morning and another in the evening as required by R1’s care plan. LPA’s review of R1’s blood sugar level logs revealed that staff had consistently checked R1’s blood sugar levels during R1’s residence at the facility. LPA conducted review of R1’s medication record and verified that all medication had been dispensed as ordered. The Department’s investigation did not provide enough information to corroborate the allegation that facility failed to meet resident’s medical needs. Based on records review, this allegation is unsubstantiated.

It was alleged that facility failed to provide responsible parties with copies of admission agreement. Information received indicated that R1’s relevant parties did not receive a copy of admission agreement even after making multiple requests. The Department conducted interviews with two (2) staff members, all of whom stated that copies of admission agreements were always given to the responsible persons upon execution of the documents. Staff do not maintain any records for copies provided. The Department’s investigation did not provide enough information to corroborate the allegation that facility failed to provide responsible parties with copies of admission agreement. Based on interviews conducted, this allegation is unsubstantiated.

Continued on LIC9099-C....

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20211027154457
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: PALMS AT LA QUINTA, THE
FACILITY NUMBER: 331880511
VISIT DATE: 03/19/2026
NARRATIVE
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A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was not conducted as the facility has been closed since 07-03-2025. A copy of this report was sent to the ex-licensee’s last known address via USPS certified mail due to the facility closure.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3