331880550-5-20-2026-18-AS-APEZ-DUMUCU-20260601152830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880550
Report Date: 05/20/2026
Date Signed: 05/20/2026 02:47:07 PM

Unfounded

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
05/19/2026 and conducted by Evaluator Seo Jeon

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20260519115653

FACILITY NAME:	COTTAGES AT PALM SPRINGS		FACILITY NUMBER:	331880550
ADMINISTRATOR:	EDDY, TAMMY		FACILITY TYPE:	740
ADDRESS:	1780 E BARISTO RD		TELEPHONE:	(760) 322-3444
CITY:	PALM SPRINGS	STATE: CA	ZIP CODE:	92262
CAPACITY:	95	CENSUS: 79	DATE:	05/20/2026
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Tammy Eddy, Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Resident do not have a working television

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to investigate the above allegation. LPA met with Tammy Eddy, Executive Director, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and resident and review of records.

On May 19, 2026, Community Care Licensing (The Department) received a complaint report with the following allegation.

It was alleged that resident do not have a working television. Information received indicated that Resident #1 (R1) does not have a working television in their room. LPA conducted an interview with R1 who stated that R1's friends brought two (2) televisions and one of them worked fine. R1 stated that the television in their room worked without any problems. LPA conducted an interview with Staff #1 (S1) who stated that R1's friends brought wrong remote control, so R1 could not use the television. R1's friends brought a correct remote control later, and the televeion was working fine. Continued on LIC9099-C....

Unfounded

Estimated Days of Completion: 30

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

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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Control Number 18-AS-20260519115653

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: COTTAGES AT PALM SPRINGS	FACILITY NUMBER: 331880550
	VISIT DATE: 05/20/2026

NARRATIVE

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S1 stated that the televisions were all supplied by the residents or their families, not the facility. LPA's records review revealed that R1 was admitted to the facility on March 25, 2026, and television was not offered in the admission agreement. LPA's interview with the Administrator confirmed the statement from S1.

Based on observation, interviews and records review, the Department's investigation did not provide any information to corroborate the allegation that resident do not have a working television. This allegation is unfounded.

A finding of Unfounded means the allegation could not have happened, is false, and/or is without a reasonable basis.

An exit interview was conducted where a copy of this report was provided.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

LIC9099 (FAS) - (06/04)

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