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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880947
Report Date: 08/17/2021
Date Signed: 09/21/2021 04:41:11 PM

Document Has Been Signed on 09/21/2021 04:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CAREFACILITY NUMBER:
331880947
ADMINISTRATOR:ARNETT, KIMBERLYFACILITY TYPE:
735
ADDRESS:19531 MCLANE STTELEPHONE:
(760) 778-2083
CITY:NORTH PALM SPRINGSSTATE: CAZIP CODE:
92258
CAPACITY: 92CENSUS: 78DATE:
08/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jones Ntekin and Alexander OgleTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced annual inspection. LPA Prieto met with Directors Jones Ntekin and Alexander Ogle. The facility is a 92 bed capacity Adult Residential Facility to provide residence to clients with serious and persistent mental health disorders that significantly impair their ability to live in the community without services provided by this facility .

The facility is equipped with a full kitchen area that was inspected and appeared to be in compliance with Title 22 regulations for operation. The facility provides psychiatric as well as peer to peer counseling. Facility has several indoor activities areas for residents to congregate as well as an indoor gymnasium. Resident sleeping areas are properly furnished with several common bathroom and shower areas for resident use. Facility offers several activities for residents as well as promoting life skills training to empower and promote confidence in self-sufficiency and abilities in areas such as housekeeping, hygiene budgeting and money management.

During the visit LPA Prieto discussed infection control procedures and practices with both Alexander and Jones. The facility appeared to be in compliance and no deficiencies were observed or cited.

An exit interview was conducted and a copy of this report was reviewed with and provided to Mr Ogle.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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