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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880947
Report Date: 04/02/2025
Date Signed: 04/02/2025 09:37:22 AM

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
03/25/2021 and conducted by Evaluator Debbie Palacios
COMPLAINT CONTROL NUMBER: 18-AS-20210325104003
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: 87DATE:
04/02/2025
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Administrator, Alexander OgleTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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9
Staff falsifing documents
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA), Debbie Palacios arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Administrator Alexander Ogle and explained the purpose of the visit.

During the investigation, LPA conducted interviews with Program Director, Counselor, Conservator and conducted a review of pertinent information. On 03/25/2021, Community Care Licensing received a complaint alleging staff falsified documents. It was reported that Staff #1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4), were falsifying Resident’s medical records. Interviews conducted with Administrator stated that no staff members had engaged in falsifying medical documents. Information obtained from interviews with staff denied that they were falsifying any documents pertaining to Resident. LPA was unable to interview two staff members that was pertinent to the investigation but was unable to obtain contact. LPA was unable to interview Resident (R1) as the contact number was unavailable. Information obtained from review of documentation indicated that there is no proof of falsifying documents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Debbie Palacios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
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-20210325104003
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: 04/02/2025
NARRATIVE
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Based on interviews and a review of documentation, the allegation of staff falsifying documents may have happened or is valid, but there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated.

An exit interview was conducted and a copy of this report and LIC 811 was provided to Administrator Alexander Ogle.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Debbie Palacios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2