336400954-7-29-2021-18-AS-NBRN-C88PBG-20211028111018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 07/29/2021
Date Signed: 07/29/2021 03:08:33 PM

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
07/20/2021 and conducted by Evaluator Shaunte Henry

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210720122108

FACILITY NAME:	ATRIA PALM DESERT		FACILITY NUMBER:	336400954
ADMINISTRATOR:	FLORES, DENISE		FACILITY TYPE:	740
ADDRESS:	44300 SAN PASCUAL AVE		TELEPHONE:	(760) 773-3772
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	154	CENSUS: 63	DATE:	07/29/2021
		UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Cheree Escandel, Executive Director		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff are over medicating a resident while in care
Staff are not properly feeding a resident while in care

INVESTIGATION FINDINGS:

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On 7/29/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit to initiate an investigation into the above allegations. The LPA met with Executive Director (ED), Cheree Escandel, explained the nature of the visit and was granted entry.

The investigation, which consisted of document review and interviews revealed the following:
Allegation #1: Staff are over medicating a resident while in care:
Resident 1 (R1) changed hospice agencies and the new hospice agency prescribed Morphine because R1 stated they had neck and back pain. R1 was already prescribed Tramadol. R1 received both medications on 7/16/21, 7/17/21, 7/18/21 and 7/19/21. On 7/19/21 Staff 1 (S1) observed R1 to be lethargic and immediately contacted the hospice agency. The Morphine was immediately discontinued due to R1 having a history of Transient Ischemic Attacks (TIA)s, which was a risk factor. R1 immediately began recovering after the Morphine was discontinued.

***continued on 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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-20210720122108

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 PALM DESERT	FACILITY NUMBER: 336400954
	VISIT DATE: 07/29/2021

NARRATIVE

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***continued from 9099***

Allegation #2: Staff are not properly feeding resident while in care:
After R1 was provided Morphine and Tramadol together, R1 was very lethargic, therefore the facility staff wanted to preserve R1's dignity by allowing her to recover in her apartment. R1 was provided soft foods because R1 stated their throat was sore. R1 returned to their original diet soon after.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time.

An exit interview was conducted where this report and LIC 811 were provided to the ED.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

LIC9099 (FAS) - (06/04)

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