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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880722
Report Date: 12/03/2025
Date Signed: 12/03/2025 03:51:20 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
08/12/2024 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240812155053
FACILITY NAME:DESERT HILLS MEMORY CARE CENTERFACILITY NUMBER:
331880722
ADMINISTRATOR:HUDSON, CHANTELLEFACILITY TYPE:
740
ADDRESS:25818 COLUMBIA STTELEPHONE:
(951) 652-1837
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:58CENSUS: 32DATE:
12/03/2025
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Shannon Moore - Executive DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not keep facility free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced 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 8/20/24 LPAs Jeon, Castillo and Sabarias conducted an initial complaint investigation, conducted a tour of the facility, interviewed 3 staff and 2 residents, and requested pertaining documents. On 10/25/24 LPA Jeon conducted a subsequent visit and interviewed 7 residents. On 12/1/25 LPA Flores requested pertaining documents for resident #1(R1). On 12/3/25 LPA Flores conducted a tour of the facility, interviewed 6 staff, and delivered findings.

The investigation revealed the following: Regarding allegation: Staff did not keep facility free of pest. It is alleged facility has bedbug infestation.

(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
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 2
Control Number 18-AS-20240812155053
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: 12/03/2025
NARRATIVE
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Interviews with residents revealed 7 out of 9 interviewed revealed residents did not have bug bites in their skin, have not observed bed bugs at the facility, and stated bed sheets are change at least once a week. 1 out of 9 residents had skin lesions for which treatment was being applied and 1 out of 9 residents refused to be interviewed. Interviews with staff revealed staff have not observed bed bugs in the facility. Documents reviewed revealed facility received monthly pest control services between May and September of 2024. No notes on observations or services for bed bugs were noted. R1's notes note treatment for skin condition on 8/20/24. On 8/20/24 LPA Jeon observed facility clean, organized, and observed one resident with skin lesions. On 12/3/25 LPA Flores tour 5 resident rooms and observed their bed and bedding supplies, LPA did not observe bed bugs.

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: 12/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2