331880734-7-30-2021-18-AS-NBRN-C6EU8W-20210831152214

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880734
Report Date: 07/30/2021
Date Signed: 07/30/2021 01:16:46 PM

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
03/01/2021 and conducted by Evaluator Anna Bueno

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210301104814

FACILITY NAME:	GLADWELL RANCHO MIRAGE		FACILITY NUMBER:	331880734
ADMINISTRATOR:	MARIGER, VICKI		FACILITY TYPE:	740
ADDRESS:	34560 BOB HOPE DRIVE		TELEPHONE:	(760) 770-7737
CITY:	RANCHO MIRAGE	STATE: CA	ZIP CODE:	92270
CAPACITY:	142	CENSUS: 81	DATE:	07/30/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jonathan Karp		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff do not speak to residents with dignity.
Facility staff failed to provide incontinent care to a resident.
The dementia unit patio and living room are dirty.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Anna Bueno and Amy Goldenberg conducted a subsequent unannounced visit for the purpose of concluding this agency's investigation into the complaint allegations mentioned above. The investigation consisted of file reviews and staff and witness interviews.

Allegation 1: Facility staff do not speak to residents with dignity. RP alleges that she overheard staff speaking sternly to a resident. Interviews revealed that this was a possible interaction between paramedic and resident who was hard of hearing. No other information was obtained regarding this allegation. Allegation 2: Facility staff failed to provide incontinent care to a resident. RP alleges that Resident 1 (R1) was left in the same diaper for 26 hrs because they were wearing the same grey diaper when RP arrived the next morning. During interviews, LPAs discovered that R1 was being showered by staff when RP arrived that morning and that grey diapers are supply stock kept by the facility. Allegation 3: The dementia unit patio and living room are dirty. Information disclosed during interviews revelead that maintenance crews clean the
***** CONTINUED ON LIC-9099C *****

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

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-20210301104814

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: GLADWELL RANCHO MIRAGE	FACILITY NUMBER: 331880734
	VISIT DATE: 07/30/2021

NARRATIVE

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the patio every morning and housekeeping staff clean the living room every day. LPAs toured the memory care unit which includes the dining and activity room, media room that opens to the patio, and the patio. LPAs observed these rooms to be clean and free of debris.

Based on interviews and observations, findings for the above allegations are therefore UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies have been cited at this time. An exit interview was conducted where this report was discussed, and a copy was provided to the Executive Director.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC9099 (FAS) - (06/04)

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