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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423672
Report Date: 07/10/2023
Date Signed: 07/10/2023 12:56:54 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
07/05/2023 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230705155450
FACILITY NAME:DESERT COTTAGE IIFACILITY NUMBER:
336423672
ADMINISTRATOR:ELIZABETH HENGSTLERFACILITY TYPE:
740
ADDRESS:83-421 MATADOR COURTTELEPHONE:
(760) 289-6287
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY:6CENSUS: 4DATE:
07/10/2023
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Elizabeth HengstlerTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Licensee not allowing visitors outside of visiting hours
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Javina George and Janette Romero made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation(s) listed above. LPAs met with Licensee Elizabeth Henglsler , where LPAs explained the purpose of the visit and the elements of the allegation(s). The allegation(s) were investigated, the investigation consisted of observation, interviews and record review.

Regarding the licensee not allowing visitors outside of visiting hours. The facility has a current visitation policy which states that visiting hours for family and friends are anytime between 10am-6pm, and that visitation during the specific meal times requires prior approval. Per the licensee Ms. Hengslter visits during meal times have been disruptive to other residents in the past, resulting in a resident not eating their meal. Prior approval would allow for the facility to make arrangements and have a visit moved to an alternate location ttahe facility so that the visit can be accommodated without causing a disruption. Additionally LPA reviewed the visitor log which revealed that the facility is accommodating visits. Based on observation and interviews
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023
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 4
Control Number 18-AS-20230705155450
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: DESERT COTTAGE II
FACILITY NUMBER: 336423672
VISIT DATE: 07/10/2023
NARRATIVE
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the allegation of Licensee not allowing visitors outside of visiting hours is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.



An exit interview was conducted, and a copy of this report was provided to Licensee Elizabeth Henglster.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
07/05/2023 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230705155450

FACILITY NAME:DESERT COTTAGE IIFACILITY NUMBER:
336423672
ADMINISTRATOR:ELIZABETH HENGSTLERFACILITY TYPE:
740
ADDRESS:83-421 MATADOR COURTTELEPHONE:
(760) 289-6287
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY:6CENSUS: 4DATE:
07/10/2023
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Elizabeth HengstlerTIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Licensee did not allow review for investigative purpose.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Javina George and Janette Romero made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation listed above. LPAs met with Licensee Elizabeth Henglsler, where LPAs explained the purpose of the visit and the elements of the allegation(s). The allegation(s) were investigated, the investigation consisted of observation, interviews and record review.

Regarding the allegation Licensee did not allow review for investigative purpose.
Per an interview with the Licensee Ms. Hengstler there was visit from the LTCO Ombudsman about a week ago and stated that there was a request to review the resident's medication boxes. Ms. Hengstler stated that she did ask if the request was made due to a complaint. The LTCO replied "no". Ms. Henglstler did deny the request as she felt it was out of the scope of the Ombudsman. Ms. Henglstler denied that a request was ever made to see the medical authorization records (MAR), as that is what the facility is utilizing, and in the event that the request was made then it would have been approved.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 18-AS-20230705155450
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: DESERT COTTAGE II
FACILITY NUMBER: 336423672
VISIT DATE: 07/10/2023
NARRATIVE
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Additionally, LPA discussed, reviewed and provided a copy of the S600 -the notice to long term care facilities regarding the ombudsman and access to facilities, residents and records. Based on interviews the allegation of licensee did not allow review for investigative purpose is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the department had there dismissed the complaint.


An exit interview was conducted, and a copy of this report was provided to Licensee Elizabeth Henglster.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4