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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880947
Report Date: 03/14/2026
Date Signed: 03/14/2026 05:09:23 PM

Substantiated


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
04/11/2023 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230411122508
FACILITY NAME:ROY'S DESERT SPRINGS ADULT RESIDENTIAL CAREFACILITY NUMBER:
331880947
ADMINISTRATOR:NTEKIM, JONESFACILITY TYPE:
735
ADDRESS:19531 MCLANE STTELEPHONE:
(760) 778-2083
CITY:NORTH PALM SPRINGSSTATE: CAZIP CODE:
92258
CAPACITY:92CENSUS: 86DATE:
03/14/2026
UNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Jesus Sicairos – Activities Coordinator TIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Uncleared staff providing care for residents.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Tena Herrera conducted an unannounced subsequent complaint visit to investigate the allegation listed above. LPA met with Jesus Sicairos and explained the purpose of the visit.

The investigation consisted of the following:
On 4/18/23 LPA Nwogene conducted the initial 10-day visit and interviewed 1 staff via phone call.
On 3/10/26 LPA Herrera conducted phone interviews with 3 Staff (S2-S4).
On 3/15/26 LPA Herrera obtained copy of facility client and staff rosters, and reviewed the guardian data base for facility fingerprint clearances and associations.
During todays visit 3/14/26 LPA interviewed 9 clients (C1-C9) and 1 staff (S5) and delivered findings on the reported allegations.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2026
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 5
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
04/11/2023 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230411122508

FACILITY NAME:ROY'S DESERT SPRINGS ADULT RESIDENTIAL CAREFACILITY NUMBER:
331880947
ADMINISTRATOR:NTEKIM, JONESFACILITY TYPE:
735
ADDRESS:19531 MCLANE STTELEPHONE:
(760) 778-2083
CITY:NORTH PALM SPRINGSSTATE: CAZIP CODE:
92258
CAPACITY:92CENSUS: 86DATE:
03/14/2026
UNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Jesus Sicairos – Activities Coordinator TIME COMPLETED:
05:20 PM
ALLEGATION(S):
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9
Staff doesn't treat residents with dignity.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA), Tena Herrera conducted an unannounced subsequent complaint visit to investigate the allegation listed above. LPA met with Jesus Sicairos and explained the purpose of the visit.

The investigation consisted of the following:
On 4/18/23 LPA Nwogene conducted the initial 10-day visit and interviewed 1 staff via phone call.
On 3/10/26 LPA Herrera conducted phone interviews with 3 Staff.
On 3/15/26 LPA Herrera obtained copy of facility client and staff rosters, and reviewed the guardian data base for facility fingerprint clearances and associations.
During todays visit 3/14/26 LPA interviewed 9 clients and delivered findings on the reported allegations.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20230411122508
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: ROY'S DESERT SPRINGS ADULT RESIDENTIAL CARE
FACILITY NUMBER: 331880947
VISIT DATE: 03/14/2026
NARRATIVE
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The investigation revealed the following:
Allegation: Staff doesn't treat residents with dignity
It is alleged that staff talk down to residents, have no respect, no compassion, or empathy for the residents, staff are dismissive towards residents and ignore them. LPA interviewed 4 staff and 3 out of 4 staff denied the allegation and stated that the staff are trained regularly on personal rights and staff at the facility treat the clients with dignity and respect. LPA interviewed 9 clients and 9 out of 9 clients denied the allegation and stated that staff have never talked down to them or treated them disrespectfully.

Based on statements and interviews conducted with staff and clients, there was not enough supportive evidence to concur with the reported allegation. 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 held, and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 18-AS-20230411122508
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: ROY'S DESERT SPRINGS ADULT RESIDENTIAL CARE
FACILITY NUMBER: 331880947
VISIT DATE: 03/14/2026
NARRATIVE
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The investigation revealed the following:
Allegation: Uncleared staff providing care for residents.
It is alleged that S1 and other multiple staff are not fingerprint cleared to work at facility. Per LPA Nwogene's interview with S4 on 4/18/23, S4 confirmed that S1 was an employee at the facility, had been working at facility for the past year and was the Program Manager of the facility. LPA Herrera reviewed Guardian and confirmed that S1 was not eligible for fingerprint clearance on 2/18/22 and was denied a fingerprint exemption on 9/19/23. Per LPA Herrera’s interviews with 3 Staff, 2 of the 3 staff confirmed the allegation stating that S1 was an employee for the facility in 2023 and worked there for at least a year providing care and supervision to the clients in care as a peer support. LPA Herrera interviewed 9 clients and 5 out of 9 clients confirmed that S1 worked here as a peer support and interacted with the clients during group meetings at the facility.

An immediate $500 civil penalty is being assessed during todays visit, for failure to obtain criminal background clearance for S1 prior to providing care and supervision to the clients in care.

At this time an Enhanced Civil Penalty (ECP) determination is pending in reference to Health and Safety Code 1548(f)(1)(A) and may be assessed at a later date.

Based on LPAs observations, interviews which were conducted, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC9099-D. Exit interview held, and a copy of this report and appeal rights were provided.


SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 18-AS-20230411122508
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: ROY'S DESERT SPRINGS ADULT RESIDENTIAL CARE
FACILITY NUMBER: 331880947
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
03/15/2026
Section Cited
CCR
80019(e)(2)
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80019 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidence by:
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Licensee/Administrator to review the regualtion and provide LPA with a written plan on how they will ensure the facility will stay in compliance with the requirement, this shall be emailed to LPA by POC due date.
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Per LPA Nwogene's interview with S4 on 4/18/23, S4 confirmed that S1 was an employee at the facility, had been working at facility for the past year and was the Program Manager of the facility. LPA Herrera reviewed Guardian and confirmed that S1 was not eligible for fingerprint clearance on 2/18/22 and was denied a fingerprint exemption on 9/19/23.
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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: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5