331880722-11-21-2025-18-AS-RORN-DNSQCM-20251126110322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880722
Report Date: 11/21/2025
Date Signed: 11/21/2025 01:03:50 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
08/14/2023 and conducted by Evaluator Mary G Flores

COMPLAINT CONTROL NUMBER: 18-AS-20230814115217

FACILITY NAME:	DESERT HILLS MEMORY CARE CENTER		FACILITY NUMBER:	331880722
ADMINISTRATOR:	HUDSON, CHANTELLE		FACILITY TYPE:	740
ADDRESS:	25818 COLUMBIA ST		TELEPHONE:	(951) 652-1837
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	58	CENSUS: 35	DATE:	11/21/2025
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Shannon Moore - Executive Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff are not mitigating the spread of infectious outbreaks in the facility
Staff do not ensure sufficient supplies are available
Staff are drinking on the facility premises

INVESTIGATION FINDINGS:

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*This is a corrected version and supersedes report dated: 11/19/25 to correct finding noted on report from Needs Further to Unsubstantiated.*

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Shannon Moore and explained the reason for the visit.

The investigation consisted of the following: On 8/22/23 LPA Martinez conducted an initial complaint investigation visit and requested the pertinent documents. On 12/18/23 LPA Martinez conducted a subsequent complaint visit. On 1/23/24 LPA Martinez conducted a subsequent visit and interviewed residents. On 11/7/25 LPA Flores contacted administrator and requested physician’s reports, face sheets, incident reports for 9 residents. On 11/8/25 LPA Flores interviewed 3 staff over the phone. On 11/10/25 LPA Flores contacted Riverside Department of Public Health. (CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

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-20230814115217

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: DESERT HILLS MEMORY CARE CENTER	FACILITY NUMBER: 331880722
	VISIT DATE: 11/21/2025

NARRATIVE

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On 11/17/25 LPA Flores interviewed 2 staff over the phone and requested medication sheets for July-September 2023, for 9 residents. On 11/19/25 LPA Flores conducted a subsequent visit and interviewed 4 residents.

The investigation revealed the following: Regarding allegation: Staff are not mitigating the spread of infectious outbreaks in the facility. It is alleged several residents have an infectious skin disease and facility administration is not providing proper mitigation. Interviews with staff revealed upon an infection outbreak staff follow their protocol. Per administrator and wellness director upon questionable scabies cases, residents may be sent to obtain a diagnosis with physician, the resident is isolated, linens are clean daily, treatment is given as directed, and staff are to use proper PPE which includes gloves and gown when providing care. Interviews with staff confirmed the facility’s protocol described by administrator during a scabies outbreak. Interviews with residents revealed staff have been observed using preventive measures to prevent the spread of an infectious disease. Document review revealed between July-August of 2023 there were 7 residents receiving treatment for scabies. Although there were several receiving treatment there is not enough evidence to say the facility had a scabies outbreak and staff were not using preventing measurements to prevent the spread. Therefore, the allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff do not ensure sufficient supplies are available. It is alleged PPE supplies are not being provided for staff to provide care to residents with infection disease. Interviews with residents revealed staff have been observed using gloves while providing care and when necessary other PPE supplies. Interviews with staff revealed facility has not run out of PPE supplies during an outbreak. During today’s visit LPA reviewed PPE supplies and observed mask, gloves, some gowns.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

(CONTINUED ON LIC 9099C)

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230814115217

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: DESERT HILLS MEMORY CARE CENTER	FACILITY NUMBER: 331880722
	VISIT DATE: 11/21/2025

NARRATIVE

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Regarding allegation: Staff are drinking on the facility’s premises. It is alleged management team is consuming alcohol in the premises. Interviews with residents revealed staff have not been observed under the influence of alcohol. Interviews with staff revealed staff have not consumed alcoholic beverages during holiday parties. LPA did not observed or smell staff under the influence during the visit.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Shannon Moore and a copy of this report was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

LIC9099 (FAS) - (06/04)

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