<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881242
Report Date: 10/08/2025
Date Signed: 10/08/2025 12:57:49 PM

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
09/29/2022 and conducted by Evaluator Mary G Flores
COMPLAINT CONTROL NUMBER: 18-AS-20220929084025
FACILITY NAME:DESERT SAGEFACILITY NUMBER:
331881242
ADMINISTRATOR:NTEKIM, JONESFACILITY TYPE:
735
ADDRESS:82485 MILES AVETELEPHONE:
(442) 324-2629
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:49CENSUS: 44DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
11:23 AM
MET WITH:Blanca Santamaria - Administrator TIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was physically assaulted while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation. LPA met with Blanca Santamaria Administrator and explained the reason for the visit.

The investigation consisted of the following: On 10/4/22 LPA Gardner conducted initial complaint visit. On 9/25/25 LPA Flores contacted administrator and requested face sheet, physician’s report, preplacement appraisal, incident reports for client #1(C1). On 10/8/25 LPA Flores conducted a subsequent visit, interviewed 4 staff and 5 clients, requested copies of hospital discharge notes for C1, and delivered findings.

The investigation revealed the following: Regarding allegation: Resident was physically assaulted while in care.
(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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-20220929084025
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: DESERT SAGE
FACILITY NUMBER: 331881242
VISIT DATE: 10/08/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
. It is alleged client #1(C1) was hit in the face by an individual. Interviews conducted with clients revealed 5 out of 5 clients stated they have never witnessed or been hurt physically by other clients or staff. Interviews conducted with staff revealed staff have no knowledge of a client reporting or been observed punched or physically hurt at the facility. Per staff when staff observed a verbal argument or a client with a behavior, they intervene by talking to the clients and de-escalating the situation. Interview with conservator revealed C1 had a history of falls and had not reported other concerns. Documents reviewed revealed C1 was seen on 9/8/22 and 9/25/22 due to falls. C1’s Discharge Summary notes C1 was taken to the hospital on 9/27/22 due to a fall. LPA reviewed attendance sheet for 9/26/22 and LIC 500 for 10/20/22 did not observed the individual listed.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2