331880653-7-16-2021-18-AS-KCLS-CSZNDW-20230621102302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880653
Report Date: 07/16/2021
Date Signed: 07/16/2021 11:05:12 AM

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
07/08/2021 and conducted by Evaluator Amy Goldenberg

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210708173303

FACILITY NAME:	ABSOLUTE DESERT CARE II		FACILITY NUMBER:	331880653
ADMINISTRATOR:	CARLOS, CHANNE		FACILITY TYPE:	740
ADDRESS:	70603 INDEPENDENT CIR		TELEPHONE:	(951) 742-3448
CITY:	RNACHO MIRAGE	STATE: CA	ZIP CODE:	92270
CAPACITY:	6	CENSUS: 4	DATE:	07/16/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Brenda Higuera		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility is in disrepair.

INVESTIGATION FINDINGS:

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This unannounced visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA),
is being conducted to initiate the 10 day visit to investigate the above mentioned complaint allegation. LPA met with Brenda Higuera and disclosed the nature of the allegation.

During this visit LPA toured the facility. Upon arrival LPA observed extension cords running from the outside of the home in through a window upon. Upon entry LPA observed the cords are running to a large fan. LPA tour included Four (4) resident bedrooms. LPA observed that in each bedroom there is a portable cooling device and the bedroom temperatures are within the regulatory parameters and comfortable to the resident. LPA observed that the temperature today is 99 degreed F outside. The inside of the facility in the common areas measures 83 and 90 degrees F with LPA's state issued infrared thermometer.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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-20210708173303

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: ABSOLUTE DESERT CARE II	FACILITY NUMBER: 331880653
	VISIT DATE: 07/16/2021

NARRATIVE

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Interview revealed that the air-conditioning has not been working efficiently for one week. Based on the aforementioned observations made by LPA Goldenberg, the allegation that the facility has no running air conditioning has been substantiated. We found the complaint allegation as valid and that a violation has occurred based on the preponderance of available evidence. A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative. Please see LIC 9099D.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20210708173303

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: ABSOLUTE DESERT CARE II	FACILITY NUMBER: 331880653
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/16/2021 Section Cited CCR 87303(b)(2)	1 2 3 4 5 6 7	The facility shall cool rooms to a comfortable range, between 78 degrees F...and 85 degrees F (30 ... or in areas of extreme heat to 30 degrees F less than the outside temperature.	1 2 3 4 5 6 7	The licensee to initiate repair or addition of portable cooling units to all areas of the home to ensure that temperatures in the home remain between 78 and 85 degrees F.
	8 9 10 11 12 13 14	The facility has failed to meet this requirement as evidenced by admission of the air-conditioning needing repair, LPA observations, and temperature measuring up to 90 degrees F in areas of the home.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC9099 (FAS) - (06/04)

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