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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880947
Report Date: 09/01/2022
Date Signed: 09/02/2022 10:26:27 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
02/24/2022 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220224091908
FACILITY NAME:ROY'S DESERT SPRINGS ADULT RESIDENTIAL CAREFACILITY NUMBER:
331880947
ADMINISTRATOR:ARNETT, KIMBERLYFACILITY TYPE:
735
ADDRESS:19531 MCLANE STTELEPHONE:
(760) 778-2083
CITY:NORTH PALM SPRINGSSTATE: CAZIP CODE:
92258
CAPACITY:92CENSUS: 91DATE:
09/01/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Jones NtekimTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff having sexual relationship with resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to investigate the above allegation. LPA met with Administrator Jones Ntekim. During the investigation LPA conducted interviews with staff, residents and reviewed additional evidence provided to LPA by a confidential source.
Regarding the allegation that Staff 1 (S1) engaged in a sexual relationship with Resident 1 (R1), the investigation revealed S1 and R1 were having a sexual relationship outside of the facility. The Chief Financial Officer and the Chief of Training and Development denied knowledge of S1 and R1 having a relationship but stated they only learned about it after the death of R1. Four of Five residents interviewed denied knowledge of S1 and R1 having a relationship; however, R1’s roommate acknowledged they were aware of a sexual relationship between R1 and S1. When S1 was interviewed S1 acknowledged they and R1 had “hung out two times” and that they’d sent “sexual texts and pictures” to R1 and that these were “enough for you to know what was happening.” R1 was unable to interview due to R1’s death on February 15, 2022.
Based upon interviews conducted with staff and residents the allegation that staff was having a sexual relationship with a resident is substantiated and a citation is being issued.
An exit interview was conducted with Administrator Jones Ntekim and copy of this report along with a copy of the LIC9099-D, and Appeal Rights were reviewed and provided.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022
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-20220224091908
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: ROY'S DESERT SPRINGS ADULT RESIDENTIAL CARE
FACILITY NUMBER: 331880947
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/03/2022
Section Cited
CCR
85065(b)
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Personnel Requirements – Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall at all times, be employed in numbers necessary to meet such needs. This requirement was not being met as evidence by:
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Licensee states they will review Title 22 Regulations regarding supervision of clients. Licensee to additionally conduct in-service with staff on how to supervise clients. Licensee may self-certify to LPA Gardner once complete. Plan of Correction due date 09/03/22.
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Interviews with staff and resident revealed staff 1 (S1) and Resident 1 (R1) were having a sexual relationship. This posed an immediate health, safety and personal rights risk to resident in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2