336400075-11-1-2024-18-AS-TDAN-DB9NPC-20241122093805

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336400075
Report Date: 11/01/2024
Date Signed: 11/01/2024 11:20:31 AM

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
06/03/2024 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240603165526

FACILITY NAME:	ATRIA HACIENDA		FACILITY NUMBER:	336400075
ADMINISTRATOR:	ROBERT STANSBURY		FACILITY TYPE:	740
ADDRESS:	44600 MONTEREY AVE		TELEPHONE:	(760) 341-0890
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	266	CENSUS: 168	DATE:	11/01/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Assistant, Claudia Herrera		TIME COMPLETED:	11:25 AM

ALLEGATION(S):

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Staff is threatening resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit to deliver findings on the above allegations. LPA met with Executive Assistant, Claudia Herrera and spoke with the Executive Director Monique Moreia over the phone. Facility staff was informed of the purpose of the visit. The investigation consisted of interviews.

It was alleged that staff threatened a resident in care, regarding Staff #1 (S1) threatening R1 during their eviction process. LPA conducted (3) resident interviews. Interview with R1 revealed that S1 had threatened to lock R1 out of their unit and sell their personal belongings. LPA conducted interviews with (2) neighboring residents to R1 who did not have information on S1 threatening R1 or any other residents in care. (Continued on LIC9099-C Page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-233-6759
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

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 4

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
06/03/2024 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240603165526

FACILITY NAME:	ATRIA HACIENDA		FACILITY NUMBER:	336400075
ADMINISTRATOR:	ROBERT STANSBURY		FACILITY TYPE:	740
ADDRESS:	44600 MONTEREY AVE		TELEPHONE:	(760) 341-0890
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	266	CENSUS: 168	DATE:	11/01/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Assistant, Claudia Herrera		TIME COMPLETED:	11:25 AM

ALLEGATION(S):

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Illegal eviction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit to deliver findings on the above allegations. LPA met with Executive Assistant, Claudia Herrera and spoke with the Executive Director Monique Moreia over the phone. Facility staff was informed of the purpose of the visit. The investigation consisted of interviews and records review.

It was alleged that the facility had conducted an illegal eviction of Resident #1 (R1). LPA conducted a file review at the regional office which revealed a 30-day eviction notice was received for R1 on 2/2/2024 citing non-payment with effective date 3/1/2024. LPA reviewed the eviction notice which complied with California Code of Regulations Title 22. LPA conducted a visit on 6/10/2024 and observed R1 was residing at the facility. LPA conducted a visit on 11/01/2024 and observed R1 is still residing at the facility. Interview with R1 revealed they were served an Unlawful Detainer 05/14/2024 which was since dismissed. (Continued on LIC9099-C Page)

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-233-6759
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 18-AS-20240603165526

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: 11/01/2024

NARRATIVE

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(Continued from LIC9099-A Page)

R1 revealed they had paid the remaining balance on their account. LPA conducted (2) staff interviews which revealed R1 was given an eviction notice and served an Unlawful Detainer, which was dismissed due to R1 paying their remaining balance. (2) staff interviews revealed the facility is not currently pursuing an eviction with R1.

This agency has investigated the complaint alleging “Illegal eviction” of R1. 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. An exit interview was conducted, and a copy of this report was provided.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-233-6759
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 18-AS-20240603165526

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: 11/01/2024

NARRATIVE

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(Continued from LIC9099 page)

LPA conducted (4) staff interviews. LPA conducted an interview with S1 who denied the allegations made, stating they did not threaten to lock R1 out of their unit or threaten R1 to sell their belongings and stating that they were accompanied by another staff member every time they spoke with R1. (2) of (4) staff interviewed had no knowledge of S1 threatening R1, while (1) of (4) staff revealed they accompanied S1 when they spoke to R1 and did not witness S1 threaten R1. Therefore, the allegation that R1 was threatened by staff is unsubstantiated.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-233-6759
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

LIC9099 (FAS) - (06/04)

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