336408381-5-2-2026-18-AS-RORN-DUHKKR-20260528075845

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336408381
Report Date: 05/02/2026
Date Signed: 05/02/2026 04:05:26 PM

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
12/18/2023 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20231218152726

FACILITY NAME:	ST. MARY'S LOVE AND CARE HOME		FACILITY NUMBER:	336408381
ADMINISTRATOR:	JANARD LANSANGAN		FACILITY TYPE:	740
ADDRESS:	74039 KOKOPELLI CIRCLE		TELEPHONE:	(760) 779-9887
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	6	CENSUS: 5	DATE:	05/02/2026
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Phillip (Chris) Abaya		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff left resident unattended on the floor
Staff refused to help the resident
Staff did not provide a comfortable environment for resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with Assistant Administrator Phillip (Chris) Abaya who assisted with today’s visit.

The investigation consisted of the following: During the initial visit conducted on 12/26/2023, LPA Janette Romero conducted an unannounced visit, toured the facility and obtained copies of pertinent documentation. The facility was advised that the investigation requires further inquiry and possible additional visits and/or phone calls may be necessary to determine findings. During today’s visit, LPA Gutierrez toured resident bedrooms, obtained staff roster, resident roster, reviewed R1’s file and obtained copies of preplacement appraisal information, face sheet, physician report, facility notes, and texts messages with staff and C1’s family. LPA requested any SIR’s that were submitted to CCLD for falls with residents within the last six months, LPA interviewed Assistant Administrator, staff #1-staff#3 (S1-S3), residents 2--6 (R2-R6), and delivered findings.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2026

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-20231218152726

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: ST. MARY'S LOVE AND CARE HOME	FACILITY NUMBER: 336408381
	VISIT DATE: 05/02/2026

NARRATIVE

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In regard to the allegation” Staff left resident unattended on the floor “, It is alleged that C1 slept out of his/her bed and was left unattended. During interview with Assistant Administrator, and staff four (4) out of four (4) stated that they have never left a resident on the floor. Administrator stated that C1 would become very agitated and try to transfer him/herself even though there were two people assist. S1 stated that C1 would fall trying to get up and did not wait for staff to assist. During interviews with residents three (3) out of four (4) state that they have never been left unattended by staff. One (1) resident was confused by LPA’s question. LPA reviewed staff notes and all indicated that C1 fell while trying to get out of bed without notifying staff. LPA also reviewed text messages between staff and C1’s family after each incident. LPA also reviewed SIR reports and files for the last six months and did not see any incidents of residents being left unattended.

In regard to the allegation” Staff refused to help the resident”, It is alleged that facility refused C1 help after C1 called facility helpline and staff said no one is going to help you. During interview with Assistant Administrator, and staff four (4) out of four (4) stated that they have never refused to assist a resident. Staff all stated that residents push the call button or yell for help and they come right away. All staff indicated that there is no facility helpline, only a bush button. During interviews with residents three (3) out of four (4) state that they have never been refused by staff for help. One (1) resident was confused by LPA’s question. R1 stated that staff was very attentive and that even if he/she doesn’t push the button all they have to do is yell and staff comes. LPA asked Administrator if any staff had any write-ups in file and was told no one had ever been given.

In regard to the allegation” Staff did not provide a comfortable environment for resident”, It is alleged that C1’s mattress was sagging causing him/her to slide out of bed. During interview with Assistant Administrator, and staff four (4) out of four (4) all stated that they have had no issues with mattress. Administrator stated that if a mattress needs to be replaced facility does not have a problem with that. LPA reviewed text messages between staff and family of C1 asking family to authorize with primary doctor or home health for a fully motorized bed. LPA interviewed four (4) residents and three (3) residents stated there mattress were fine. R3 was very confused and didn’t remember if he/she had any problems with mattress. R1 stated that mattress was fine and that staff even ordered them a bubble mattress for extra comfort. LPA did a tour of all five (5) residents’ beds and found all mattress in good condition.

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 Licensee, and a copy of this report was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2026

LIC9099 (FAS) - (06/04)

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