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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336400075
Report Date: 07/12/2025
Date Signed: 07/12/2025 04:08:28 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
06/20/2024 and conducted by Evaluator Elvira Gonzalez
COMPLAINT CONTROL NUMBER: 18-AS-20240620095703
FACILITY NAME:ATRIA HACIENDAFACILITY NUMBER:
336400075
ADMINISTRATOR:ROBERT STANSBURYFACILITY TYPE:
740
ADDRESS:44600 MONTEREY AVETELEPHONE:
(760) 341-0890
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:266CENSUS: 90DATE:
07/12/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Nathan Boese/Assistant Executive DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not ensuring residents’ showering needs are being met.
Staff are not providing adequate housekeeping services to residents.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/12/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted a subsequent unannounced complaint visit to further investigate the allegations mentioned above. LPA met with Assistant Executive Director, Nathan Boese, and the purpose of the visit was explained. LPA was granted entrance to the facility.

The investigation consisted of the following: On 06/24/24, the department conducted staff and resident interviews, reviewed records, obtained copies of relevant documentation, and toured the building. On 06/18/25, the department received the following documents via email: Resident Assessment for resident #1 (R1), Individual Service Plan for R1, Physician’s Reports for R1 and resident #2 (R2), Identification and Emergency Information for R1-R2, Face Sheet for R1-R2, Absentee Notification for R1, Notification of Incident or Change of Condition dated: 06/19/24 and 07/01/24 for R1. On 07/12/25, the department received a staff roster, resident roster, and Resident Functional Needs Care Profile for R1-R2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2025
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 5
Control Number 18-AS-20240620095703
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: ATRIA HACIENDA
FACILITY NUMBER: 336400075
VISIT DATE: 07/12/2025
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
The department conducted interviews with staff #1-#5 (S1-S5) and residents #3-#10 (R3-R10) and was unable to interview R1-R2. Furthermore, the department and Nathan Boese toured the facility and inspected rooms A202, A212, A124, A129, B101, B201 and common areas.

The investigations revealed the following:

Allegation: Staff are not ensuring residents’ showering needs are being met. It is being alleged that staff are not assisting residents with their bathing needs. On 07/12/25, between 11:00 AM and 12:00 PM the department interviewed S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out of 5 staff interviewed stated that residents are assisted with their showering needs based on their care plan. S1 stated that showers are in accordance with their care plan, and that on average most residents have shower/bathing assistance 1-2 times per week.

On 07/12/25 between 01:30 PM and 02:35 PM, the department interviewed R3-R10. Of those interviewed, 7 out of 8 residents stated they do not require assistance with showering, and 1 out of 8 residents said their showering needs are being met. 8 out of 8 residents stated that they don’t know if any residents have gone weeks without showering. 8 out of 8 residents said they are satisfied with the services provided to them.

Based on observation, interviews conducted, and records reviewed, there is not sufficient evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Staff are not providing adequate housekeeping services to residents. It is being alleged that resident’s room was observed to be filthy. On 07/12/25, between 11:00 AM and 12:00 PM, the department interviewed S1-S5. Of those interviewed, 5 out of 5 staff said staff is providing adequate housekeeping services to residents. 5 out of 5 staff said resident’s rooms are cleaned once a week, and as needed.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20240620095703
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: ATRIA HACIENDA
FACILITY NUMBER: 336400075
VISIT DATE: 07/12/2025
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
On 07/12/25 between 01:30 PM and 02:35 PM, the department interviewed R1-R10. Of those interviewed, 8 out of 8 residents stated that their room is cleaned once a week. 8 out of 8 residents stated that they are satisfied with the services provided to them.

On 07/12/25, the department and Nathan Boese toured the facility and inspected rooms A202, A212, A124, A129, B101, B201 and other common areas. The department observed the rooms and the facility to be clean and in sanitary condition.

Based on observation, interviews conducted, and records reviewed, there is not sufficient evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

The department did not observe any deficiencies during this visit, therefore no citations were issued.

An exit interview was conducted with Nathan Boese, and a copy of this report is provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5