336426426-11-5-2021-18-AS-NBRN-CCLNWB-20220317104915

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426426
Report Date: 03/02/2021
Date Signed: 11/05/2021 01:46:48 PM

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 MS29-26
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/25/2020 and conducted by Evaluator Shaunte Henry

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200325153221

FACILITY NAME:	HOVLEY CARE SERVICES		FACILITY NUMBER:	336426426
ADMINISTRATOR:	CALAMARO, SVETLANA		FACILITY TYPE:	740
ADDRESS:	47-965 VIA NICE		TELEPHONE:	(760) 899-6161
CITY:	LA QUINTA	STATE: CA	ZIP CODE:	92253
CAPACITY:	6	CENSUS: 3	DATE:	03/02/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Svetlana "Lana" Calamaro, licensee/ administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility is not being properly maintained for residents while in care
Staff is denying resident to personal belongings
Staff yelled at resident while in care

INVESTIGATION FINDINGS:

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On 11/5/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. The LPA met with Svetlana Calamaro, explained the purpose of the visit and was granted entry.

The investigation consisted of a facility tour, document review and interviews. One out of three residents was verbal and able to provide responses to an interview.
Allegation 1: Facility is not being properly maintained for residents while in care:
The LPA toured the entire facility and found the facility to be clean and sanitary. All appliances were operable, the facility had running water, the hot water appeared to be between 105-120 degrees Fahrenheit. All bedrooms were large and were furnished according to regulations. ***continued on LIC 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0336
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

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-20200325153221

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 MS29-26
RIVERSIDE, CA 92507

FACILITY NAME: HOVLEY CARE SERVICES	FACILITY NUMBER: 336426426
	VISIT DATE: 03/02/2021

NARRATIVE

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***Continued from LIC 9099***

Allegation 2: Staff is denying resident to personal belongings:
LPA toured to the resident bedrooms and observed personal belongings. A resident interview revealed that the resident had access to personal belongings.

Allegation #3: Staff yelled at resident while in care:
A resident interview revealed that the facility staff are providing proper care and supervision to the resident interviewed as well as other residents as observed by the interviewee.

LPA Henry was not able to interview the resident because she no longer resides at the facility.

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, therefore the allegations are UNSUBSTANTIATED at this time.

An exit interview was conducted where this report was discussed with and provided to Svetlana Calamaro.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 248-0336
LICENSING EVALUATOR NAME: Shaunte Henry	TELEPHONE: (951) 217-0236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

LIC9099 (FAS) - (06/04)

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