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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 10/29/2024
Date Signed: 10/29/2024 04:24:45 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
05/08/2023 and conducted by Evaluator Yolanda Delgado
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230508091711
FACILITY NAME:ATRIA PALM DESERTFACILITY NUMBER:
336400954
ADMINISTRATOR:FLORES, DENISEFACILITY TYPE:
740
ADDRESS:44300 SAN PASCUAL AVETELEPHONE:
(760) 773-3772
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:154CENSUS: 74DATE:
10/29/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cheree Escandel, AdministratorTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff neglect resulted in a resident sustaining multiple pressure injuries
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Cheree Escandel, Administrator and explained the purpose of the visit.

On May 8, 2023, Community Care Licensing received a complaint alleging staff neglect resulted in a resident’s sustaining multiple pressure injuries while in care. LPA conducted interviews with Administrator, staff, and additional witnesses. LPA also conducted a review of pertinent documentation. LPA was unable to interview Resident #1 (R1) in order to obtain pertinent information due to R1 passing away on September 21, 2022.

Regarding the allegation staff neglect resulted in a resident sustaining multiple pressure injuries, it was reported that on September 2, 2022, Resident #1 (R1) suffered a fall, but the facility did not transport R1 to the hospital for evaluation. It was reported that due to the fall, R1 developed two pressure injuries. (Continued on Page 2)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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 2
Control Number 18-AS-20230508091711
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: 10/29/2024
NARRATIVE
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(Continued from Page 1)

Information obtained from Administrator stated that R1 did not develop pressure injuries from the fall on September 2, 2022. Administrator further indicated that R1 did not sustain any pressure injuries while placed at the facility. Information obtained from additional staff interviews corroborated that R1 did not sustain pressure injuries at any time while placed at the facility. Information obtained from resident records did not report that R1 sustained pressure injuries from falls. Medical records pertaining to the fall, revealed R1 sustained a head laceration and first- and second-degree burns. No information indicated that a pressure injury was sustained.

Based on staff interviews, emergency personnel reports, facility records, the allegation staff neglect resulted in a resident sustaining multiple pressure injuries, we have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted, and a copy of this report was provided along with LIC811- Confidential Names list.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2