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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336400075
Report Date: 12/07/2020
Date Signed: 12/07/2020 02:53:00 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/10/2020 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200810154159
FACILITY NAME:ATRIA HACIENDAFACILITY NUMBER:
336400075
ADMINISTRATOR:BARTON, ROBERTFACILITY TYPE:
740
ADDRESS:44600 MONTEREY AVETELEPHONE:
(760) 341-0890
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:266CENSUS: 158DATE:
12/07/2020
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Cheree Escandel, Assistant Executive DirectorTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff not properly trained
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tricia Danielson contacted the facility via telephone to conclude a complaint investigation via telephone due to COVID-19 and for precautionary measures. LPA indentified herself and discussed the purpose of the call and the elements of the investigation into the allegation listed above with Assistant Executive Director (AED) Cheree Escandel.
Regarding the allegation "facility staff not properly trained", it was alleged that Resident #1 (R1) suffered bruising to their legs as a result of facility staff not being properly trained to lift them. Record review revealed several staff trainings which included lifting, transferring, proper proper lifting posture, ergonomics and back safety, resident's rights, abuse and neglect, Alzheimer's, dementia, and hospice services related to end of life.
Record review also revealed that facility staff were observed by hospice staff lifting and/or transferring R1 without issue on several occasions. Interviews with six (6) of six (6) staff indicate they had received training in the areas of lifting and transferring residents. This agency has investigated the complaint alleging "facility staff not properly trained". We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. (CONTINUED ON LIC 9099 C)
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Reyna LaceyTELEPHONE: (951) 836-3135
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020
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-20200810154159
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ATRIA HACIENDA
FACILITY NUMBER: 336400075
VISIT DATE: 12/07/2020
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
(CONTINUED FROM 9099)
An exit interview was conducted with AED Escandel via telephone and a copy of this report along with LIC 811- Confidential Names List was provided to AED Escandel via email and an electronic read receipt confirms receiving these documents. AED Escandel has also agreed to sign the report and return a signed copy to LPA.
SUPERVISOR'S NAME: Reyna LaceyTELEPHONE: (951) 836-3135
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2