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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880511
Report Date: 06/27/2021
Date Signed: 02/10/2022 11:10:08 AM

Unsubstantiated


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
02/17/2021 and conducted by Evaluator Shaunte Henry
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210217121513
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: 53DATE:
06/27/2021
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Chris Taber, Director of Health ServicesTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Facility has a scabies outbreak
Facility staff failed to notify staff and residents of scabies outbreak
Facility failed to notify licensing of outbreak
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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12
13
On 6/27/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. LPA met with Chris Taber, Director of Health Services, explained the nature of the visit and was granted entry into the facility.

The investigation, which consisted of an interview and document review revealed the following:
An interview with the administrator revealed that there were only 2 staff cases of scabies and zero resident cases. This isolated event was not an outbreak, therefore the administrator was not required to notify staff and residents. The facility notified Community Care Licensing (CCL) of the 2 cases as required. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation are UNSUBSTANTIATED at this time. An exit interview was conducted where this report was discussed with and provided to Chris Taber.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte HenryTELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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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