331880947-1-18-2023-18-AS-DMUN-CNER9T-20230125115005

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880947
Report Date: 01/18/2023
Date Signed: 01/18/2023 11:23:40 AM

Unsubstantiated

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
01/11/2023 and conducted by Evaluator Chinwe Nwogene

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230111103538

FACILITY NAME:	ROY'S DESERT SPRINGS ADULT RESIDENTIAL CARE		FACILITY NUMBER:	331880947
ADMINISTRATOR:	NTEKIM, JONES		FACILITY TYPE:	735
ADDRESS:	19531 MCLANE ST		TELEPHONE:	(760) 778-2083
CITY:	NORTH PALM SPRINGS	STATE: CA	ZIP CODE:	92258
CAPACITY:	92	CENSUS: 83	DATE:	01/18/2023
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Jones Ntekim, Administrator Theresa Bader, Director		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Staff do not provide basic hygiene products to residents in care.

INVESTIGATION FINDINGS:

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On January 18,2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met Administrator, Jones Ntekim and Director, Theresa Bader who was informed of the purpose of the visit. During the investigation, LPA Nwogene interviewed staff and residents and inspected facility storage unit.
Regrading the allegation “Staff do not provide basic hygiene products to residents in care”. It was alleged staff did not provide resident #1 (R1) with hygiene products. Interview with R1 revealed R1 requested for hygiene products but was told products ran out. LPA interviewed Administrator who stated facility provides residents with hygiene products when residents moves in and afterward upon resident’s request. LPA interviewed residents who stated facility provides them with hygiene products. LPA inspected facility storage unit and observed hygiene products to be sufficient.
Based on LPA’s interviews with staff, residents, and observations there is not enough evidence to support above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Jones Ntekim.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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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