<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336413159
Report Date: 03/17/2026
Date Signed: 03/17/2026 02:30:18 PM

Substantiated


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
03/11/2026 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20260311114502
FACILITY NAME:ANGEL VIEW ADULT DAY CAREFACILITY NUMBER:
336413159
ADMINISTRATOR:MICHELE HUNSAKERFACILITY TYPE:
775
ADDRESS:12379 MIRACLE HILL ROADTELEPHONE:
(760) 329-6471
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:105CENSUS: 70DATE:
03/17/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Michele HunsakerTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not follow reporting requirements
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/17/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of launching the complaint investigation into the allegation listed above. LPA Flores was greeted by receptionist Vicky; LPA introduced herself to Vicky and was directed to speak with Director of Program Services, Cindy Kliburn. LPA met with Cindy and explained the purpose of visit. The investigation is summarized as follows:

Information received alleged facility staff did not follow reporting requirements after Client #1 (C1) reportedly fell off of a changing table during a brief change. Interviews with (4) four staff confirmed C1 fell from the changing table on 3/9/2026 during a brief change. A file review conducted prior to the investigation confirmed that the Department did not receive an unusual incident report regarding the incident. Interviews with Staff #1 and Staff #2 reported addressing the incident to management which prompted Staff #4 (S4) to hold an internal meeting on 3/11/2026.
(Continue to LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
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 3
Control Number 18-AS-20260311114502
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: ANGEL VIEW ADULT DAY CARE
FACILITY NUMBER: 336413159
VISIT DATE: 03/17/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continuation from LIC9099)

S1 and S2 report not knowing if the incident was addressed to the Licensing Department as management controls incidents reports provided to the Licensing Department and Regional Center. An interview conducted with S3 and S4 reported that the incident was not reported to the licensing department as they did not believe the incident fell within reporting requirement as C1 did not sustain any visible injuries. Interviews with (4) four staff report that C1 did not sustain any visible injuries and C1 was assessed by a Registered Nurse who works at the facility. A records review conducted of C1’s Individual Service Plan and Individual Program Plan report that C1 is non-verbal. A records review conducted of C1’s physician report noted non-verbal under section "able to communicate". Interviews with staff corroborated that C1 was not transported to a medical office to confirm C1 did not sustain any internal injuries.

Based on records review and interviews, the allegation of staff did not follow reporting requirements is deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid as the preponderance of the evidence standard has been met. A citation will be issued in accordance with Title 22, Division 6, Regulations.

An exit interview was conducted, and a copy of this report was provided, along with a copy of LIC9099C, LIC9099D, and Appeal Rights were provided to the Administrator.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20260311114502
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: ANGEL VIEW ADULT DAY CARE
FACILITY NUMBER: 336413159
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2026
Section Cited
CCR
82061
1
2
3
4
5
6
7
(a) Upon the occurrence, during the hours the day program is providing services to the client...containing the information specified in Section 82061(a)(2) shall be submitted to the licensing agency within seven days following the occurrence of the event. (1) Events reported shall include, but not limited to
1
2
3
4
5
6
7
Administrator agreed to review section 82061, Reporting Requirements, and provided a signed affidavit to the licensing department acknowledging and agreeing to uphold the listed regulation. The document shall be produced to LPA no later than Close of Business on 3/31/2026 via email.
8
9
10
11
12
13
14
the following: (D) Any unusual incident which threatens the physical or emotional health or safety of any client. This requirement was not met with evidence by: after (1) one out of (1) one client fell at the facility, the incident was not reported to the Department.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3