336400954-3-29-2024-18-AS-JDHS-DBVQV3-20241212112935

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 03/29/2024
Date Signed: 03/29/2024 03:18:50 PM

Unsubstantiated

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 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: 77	DATE:	03/29/2024
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Cheree Escandel, Administrator		TIME COMPLETED:	02:23 PM

ALLEGATION(S):

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Staff did not provide adequate supervision to a resident
Staff did not seek timely medical attention for a resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegations listed above. LPA met with Cheree Escandel and explained the purpose of the visit.

During the course of the investigation, regarding the allegation “Staff did not provide adequate supervision to a resident”. Records were reviewed, and interviews were conducted with current facility staff members, and current RCFE clients. The Facility records revealed Resident #1 (R1) was independent and was able to leave the facility unsupervised. The facility staff interviews confirmed R1 fell off R1’s scooter and hit his head as he traveled on the sidewalk outside the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Yolanda Delgado	TELEPHONE: (951) 203-2990
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024

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-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: 03/29/2024

NARRATIVE

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(continued from page 2)

Staff indicated they remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. The medical records pertaining to the incident revealed R1 sustained a head laceration requiring staples, and first- and second-degree burns. Regarding the allegation “Staff did not seek timely medical attention for a resident”. Records were reviewed, and interviews were conducted with current facility staff members, and current RCFE clients. The facility staff interviews confirmed records revealed Resident #1 (R1) was independent and was able to leave the facility unsupervised. The facility staff interviews confirmed R1 fell off R1’s scooter and hit his head as he traveled on the sidewalk outside the facility. Staff indicated they contacted 911, remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Medical records confirmed R1 sustained a head laceration requiring staples, and first- and second-degree burns. The EMS records narrative indicated R1 was on the pavement for approximately 20 minutes. However, this information could not be validated as there was no indication on the 911 radio call of how much time had lapsed before 911 was contacted by the facility.

Therefore, the allegations of neglect/lack of supervision is Unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Yolanda Delgado	TELEPHONE: (951) 203-2990
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024

LIC9099 (FAS) - (06/04)

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