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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336425954
Report Date: 04/15/2026
Date Signed: 04/15/2026 09:34:29 AM

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
07/14/2025 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250714084243
FACILITY NAME:CARMIE CARES HOME FOR THE ELDERLY 1FACILITY NUMBER:
336425954
ADMINISTRATOR:JAY SESEFACILITY TYPE:
740
ADDRESS:32220 SHIFTING SANDS TRAILTELEPHONE:
(760) 656-1177
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY:0CENSUS: 0DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Closed facilityTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff are not meeting residents toileting
Staff leave resident in soiled clothing for an extended period of time
Staff are not maintaining resident’s hygiene
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon mailed this report to the ex-licensee’s last known mailing address via USPS certified mail, to communicate the findings related to the above-mentioned allegations. The facility has been closed since 09-11-2025.

On July 14, 2025, the Department received a complaint report with the following allegations.

It was alleged that staff are not meeting residents toileting. According to the information received, Resident #1 (R1) was observed severely soiled at 10:45 AM on July 10, 2025. LPA’s record review revealed that R1 required incontinence care and had a cognitive condition that impacted their ability to communicate or care for themselves. LPA conducted an interview with a relevant party (RP), who stated that R1’s clothing, bedding and incontinence brief were severely soiled at the time of their visit.

Continued on LIC9099-C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 5
Control Number 18-AS-20250714084243
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: CARMIE CARES HOME FOR THE ELDERLY 1
FACILITY NUMBER: 336425954
VISIT DATE: 04/15/2026
NARRATIVE
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RP stated R1 had not been changed since the day before and noted that this was not an isolated incident. RP stated they previously advised Staff #1 and #2 (S1 and S2) to ensure R1 was kept clean and dry. However, RP stated that both S1 and S2 continued to rely on outside care teams to manage R1’s toileting needs. LPA’s record review confirmed R1’s soiled clothing, bedding, and incontinence brief. Based on interviews conducted and record review, the Department’s investigation provided enough information to corroborate the allegation that staff are not meeting residents toileting. This allegation is substantiated.

It was alleged that staff leave resident in soiled clothing for an extended period of time. According to the information received, R1’s clothes were severely soiled, and R1 was found to have 2 incontinence briefs on at one time. LPA conducted an interview with a relevant party (RP), who stated that R1 had not been changed since the day before when they visited on July 10, 2025. RP stated that R1’s clothes, bedding and incontinence brief were severely soiled at the time of their visit. LPA’s record review confirmed R1’s soiled clothing, bedding, and incontinence brief. Based on interviews conducted and record review, the Department’s investigation provided enough information to corroborate the allegation that staff leave resident in soiled clothing for an extended period of time. This allegation is substantiated.

It was alleged that staff are not maintaining resident’s hygiene. LPA conducted an interview with a relevant party (RP) who stated that R1’s clothes were completely saturated with urine and feces. The feces were in the R1’s hair, face, hands and mouth. LPA’s record review confirmed R1’s soiled clothing, bedding, incontinence brief, and the feces on R1’s hand and face. Based on interview conducted and records review, the Department’s investigation provided enough information to corroborate the allegation that staff are not maintaining resident’s hygiene. This allegation is substantiated.

A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was not conducted as the facility has been closed since 09-11-2025. A copy of this report was sent to the ex-licensee’s last known address via USPS certified mail due to the facility closure.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
07/14/2025 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250714084243

FACILITY NAME:CARMIE CARES HOME FOR THE ELDERLY 1FACILITY NUMBER:
336425954
ADMINISTRATOR:JAY SESEFACILITY TYPE:
740
ADDRESS:32220 SHIFTING SANDS TRAILTELEPHONE:
(760) 656-1177
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY:0CENSUS: 0DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Closed facilityTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff are not properly supervising a resident who is a fall risk
Staff left resident in soiled in feces and urine resulting in rashes
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon mailed this report to the ex-licensee’s last known mailing address via USPS certified mail, to communicate the findings related to the above-mentioned allegations. The facility has been closed since 09-11-2025.

On July 14, 2025, the Department received a complaint report with the following allegations.

It was alleged that staff are not properly supervising a resident who is a fall risk. According to the information received, R1 was observed with bruises on their arms. LPA conducted an interview with relevant party (RP) who stated that padding for bed rails was provided to the facility to prevent R1’s bruising, but R1 kept on having bruises. RP was not certain if the bruising was from fall since R1 was not able to get out of bed by themselves.

Continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 5
Control Number 18-AS-20250714084243
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: CARMIE CARES HOME FOR THE ELDERLY 1
FACILITY NUMBER: 336425954
VISIT DATE: 04/15/2026
NARRATIVE
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LPA’s records review revealed that R1 had history of skin condition or breakdown. LPA was unable to conduct interviews with R1 due to R1’s cognitive condition. Based on records review and interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff are not properly supervising a resident who is a fall risk. This allegation is unsubstantiated.

It was alleged that staff left resident in soiled in feces and urine resulting in rashes. LPA conducted an interview with reporting party (RP) who stated R1 developed rashes due to being soiled in urine and feces. LPA conducted records review but was unable to observe any evidence of R1 having rashes. LPA’s attempt to interview R1 was unsuccessful due to R1’s cognitive condition. The Department’s investigation did not provide enough information to corroborate the allegation that staff left resident in soiled in feces and urine resulting in rashes. This allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.



An exit interview was not conducted as the facility has been closed since 09-11-2025. A copy of this report was sent to the ex-licensee’s last known address via USPS certified mail, due to the facility closure.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20250714084243
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: CARMIE CARES HOME FOR THE ELDERLY 1
FACILITY NUMBER: 336425954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/15/2026
Section Cited
CCR
87468.2(a)(4)
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Additional Personal Rights of Residents in Privately Operated Facilities, (a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents ..., (4)To care, supervision, and services that meet their individual needs... This requirement was not met as evidenced by:
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This facility has been closed since 09/11/2025. There are no residents in care.
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Based on interviews and records review, the licensee did not provide care and supervision to R1. This posed immediate health and safety risk to resident in care.
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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: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5