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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336423741
Report Date: 06/06/2024
Date Signed: 06/06/2024 11:38:33 AM

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
05/29/2024 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240529003222
FACILITY NAME:SVS-PALM SPRINGS ADULT DAY PROGRAMFACILITY NUMBER:
336423741
ADMINISTRATOR:KENNISHA CAREYFACILITY TYPE:
775
ADDRESS:997 E. TAHQUITZ CANYON WAYTELEPHONE:
(760) 322-6023
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:45CENSUS: 43DATE:
06/06/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Program Director, Norshay EasterTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff humiliated a client while in care
INVESTIGATION FINDINGS:
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On 6/6/2024, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to investigate the allegation listed above. LPA met with Program Director (PD), Norshay Easter who was informed of the purpose of the visit.

It was alleged that on 5/7/2024, someone had a bladder/bowel accident during day program and Staff 1 (S1) accused Client 1 (C1) of the accident, in front of other clients and staff. It was further alleged S1 stated they would lower C1's pants and underwear to prove they had the bladder/bowel accident. LPA conducted staff and client interviews. Three (3) of four (4) clients interviewed reported they were present on 5/17/24 and did not recall an incident of this nature occurring and also confirmed they received all the assistance required during toileting needs.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
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-20240529003222
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: SVS-PALM SPRINGS ADULT DAY PROGRAM
FACILITY NUMBER: 336423741
VISIT DATE: 06/06/2024
NARRATIVE
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 Three (3) of four (4) clients interviewed reported they have experienced similar bladder/bowel accidents during day program and staff have been discrete about getting them a change of clothing or when cleaning up the soiled area. Three (3) of four (4) clients interviewed added staff have never threatened to lower their pants/underwear to demonstrate they had a bladder/bowel accident, and they have never felt humiliated by staff nor have they observed staff humiliate another client. Four (4) staff were interviewed and refuted the allegation. Staff interviews reported they have never observed S1 or any other day program staff report clients' bladder/bowel incontinence in the presence of others. Staff interviews added they have never observed S1 or any other staff humiliate any of the clients. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and Confidential Names List (LIC811) was provided PD Easter.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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