331881242-10-15-2025-18-AS-RORN-DMPP6G-20251022110220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881242
Report Date: 10/15/2025
Date Signed: 10/15/2025 04:06:29 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

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220929084025

FACILITY NAME:	DESERT SAGE		FACILITY NUMBER:	331881242
ADMINISTRATOR:	NTEKIM, JONES		FACILITY TYPE:	735
ADDRESS:	82485 MILES AVE		TELEPHONE:	(442) 324-2629
CITY:	INDIO	STATE: CA	ZIP CODE:	92201
CAPACITY:	49	CENSUS: 44	DATE:	10/15/2025
		UNANNOUNCED	TIME BEGAN:	03:14 PM
MET WITH:	Blanca Santamaria - Administrator		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Client was physically assaulted while in care

INVESTIGATION FINDINGS:

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*This report supersedes report dated 10/8/25 to include additional information that was not included on the previous report.*
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. On 10/15/25 LPA Flores attempted to contact C1's conservator and delivered findings.

(CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

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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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: 10/15/2025

NARRATIVE

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The investigation revealed the following: Regarding allegation: Resident was physically assaulted while in care. 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 admitted to the facility on 9/6/22. Hospital discharge notes for C1 note C1 was seen on 9/8/22 and 9/25/22 due to falls. C1’s Discharge Summary facility notes C1 was taken to the hospital on 9/27/22 due to a fall. Upon discharge the client required a higher level of care as C1 was no longer ambulatory and the facility does not have a fire clearance for non-ambulatory status. Discharge date: 10/13/22. LPA reviewed attendance sheet for 9/26/22 and LIC 500 for 10/20/22 did not observed the individual listed. LPA was not able to interview C1 as C1 was no longer at the facility and C1's current location is unknown. LPA attempted to contact C1's conservator and was not able to contact conservator.

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: 10/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC9099 (FAS) - (06/04)

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