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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880734
Report Date: 05/12/2026
Date Signed: 05/12/2026 12:05:53 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
12/22/2023 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20231222145418
FACILITY NAME:RANCHO MIRAGE TERRACEFACILITY NUMBER:
331880734
ADMINISTRATOR:MONIQUE MOREIRAFACILITY TYPE:
740
ADDRESS:34560 BOB HOPE DRIVETELEPHONE:
(760) 770-7737
CITY:RANCHO MIRAGESTATE: CAZIP CODE:
92270
CAPACITY:142CENSUS: 109DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
08:02 AM
MET WITH:Nathan BoeseTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility did not refund preadmission fees.
Facility did not provide copies of admission agreement.
INVESTIGATION FINDINGS:
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On May 12, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Nathan Boese Executive Director and reason for visit explained

Investigation consisted of the following:
On December 26, 2023, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On May 12, 2026, the department conducted an unannounced visit continue investigation of above allegations. The department obtained the following documentations:Staff roster, Resident roster, copy of Addmission Agreement which contains the refund policy (dated 11/16/23)
On May 11, 2026, the department conducted telephone interview with R1’s responsible party.
On May 12, 2026, the department conducted interview with Executive Director (A1).

Page 1 of 3
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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-20231222145418
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: RANCHO MIRAGE TERRACE
FACILITY NUMBER: 331880734
VISIT DATE: 05/12/2026
NARRATIVE
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The investigation revealed the following

Allegation: Facility did not refund preadmission fees.

The detail of complaint alleges facility has not refunded the $3372.00 preadmission fees paid for potential resident (R1)

On May 11, 2026, via telephone, the department spoke with R1’s responsible party (family member) who stated that he was refunded the entire amount. It was credited back to his account.

On May 12, 2026, at 10:15am the department interviewed Executive Director (A1) who was not with the facility during time of the complaint, however he was able to provide the department with documentation from that time frame.

On May 12, 2026, the department received and reviewed a copy of R1’s Admission agreement which included the refund policy (dated 11/16/2023).

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20231222145418
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: RANCHO MIRAGE TERRACE
FACILITY NUMBER: 331880734
VISIT DATE: 05/12/2026
NARRATIVE
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Allegation: Facility did not provide copies of admission agreement.

The detail of complaint alleges that R1 never received copies of the admission agreement that he signed.

On May 12, 2026, at 10:15am the department interviewed Executive Director (A1) who was not with the facility during time of the complaint, however he was able to provide the department with documentation from that time frame. A1 also stated that Residents and or responsible parties are provided a copy of what they have signed. Additionally, A1 stated that they currently use Docusign which those who sign will receive a pdf copy immediately after they sign. Lastly, A1 stated that a copy of admission agreement is place in residents file and can be accessed upon request.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with the Executive Director. No deficiencies cited during today’s visit. Copy of report was provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3