336400954-11-5-2021-18-AS-NBRN-C8LPE4-20211109101432

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 11/05/2021
Date Signed: 11/05/2021 02:57:34 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
08/10/2021 and conducted by Evaluator Shaunte Henry

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210810100156

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: 160	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Robert Barton, Executive Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff are mentally abusing resident
Staff are mismanaging resident's medication

INVESTIGATION FINDINGS:

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On 11/5/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. LPA met with Robert Barton, explained the purpose of the visit and was granted entry into the facility.

The investigation, which consisted of interviews and file review revealed the following:
Staff are mentally abusing the resident. An interview with Resident 1 (R1) revealed the individual who was mentally abusing them was their spouse, not staff. The LPA was not able to corroborate the allegation that staff is abusing R1.Staff are mismanaging the resident's medication: Interviews with R1 and the ED revealed R1 has been receiving their medication as prescribed by their physician.
***continued on LIC 9099C***

Unfounded

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: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

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-20210810100156

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: 11/05/2021

NARRATIVE

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***Continued from LIC 9099***

File review indicates R1 has been receiving their medication as prescribed by their physician. The LPA was not able to corroborate the allegation that staff are mismanaging R1's medication. This agency has investigated the complaint allegation. 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 where this report was provided to Robert Barton.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

LIC9099 (FAS) - (06/04)

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