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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426505
Report Date: 03/27/2024
Date Signed: 03/27/2024 10:34:22 AM

Unfounded


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
02/28/2024 and conducted by Evaluator Kathleen Banrasavong
COMPLAINT CONTROL NUMBER: 18-AS-20240228155354
FACILITY NAME:STONEWALL GARDENS ASSISTED LIVINGFACILITY NUMBER:
336426505
ADMINISTRATOR:LAUREN KABAKOFFFACILITY TYPE:
740
ADDRESS:2150 N PALM CANYON DRTELEPHONE:
(760) 548-0970
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:35CENSUS: 20DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Kitchen Manager, Brian LebeufTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Resident is being illegally evicted.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to deliver findings on complaint investigation regarding the allegation listed above. LPA spoke to the Executive Director, Lauren Vincent over the phone and met with Kitchen Chef, Brian Lebeuf and explained the purpose of the visit and the elements of the allegation. LPA Banrasavong conducted the investigation which consisted of observation, interviews with staff members and resident, and record reviews.
On 02/28/2024, Community Care Licensing received a complaint stating that the facility is illegally evicting Resident (R1). It was reported that the facility did not follow the 30-day eviction guidelines, did not properly serve the resident, and did not give the resident proper resources to find alternative housing. During the LPA’s initial visit, LPA was able to speak to R1 and confirmed that he was properly served with the 30-day notice on the date that the facility submitted the notice to Community Care Licensing’s Regional Office. R1 stated that there were resources available and Executive Director, Lauren Vincent has been assisting in trying to help find alternative housing.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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-20240228155354
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: STONEWALL GARDENS ASSISTED LIVING
FACILITY NUMBER: 336426505
VISIT DATE: 03/27/2024
NARRATIVE
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Documentation provided to the resident indicated an outstanding balance due to failure to pay rent under the residency agreement. The balance included fees from unpaid rent since September 2022 until the present month of March 2024. During the LPA’s interview with Executive Director, Lauren Vincent, it was concluded that the eviction notice was served to the resident in his room, along with several resources to help find alternate housing. It was advised that there were two (2), 30-day eviction notices served to the resident on October 19, 2023, and December 29, 2023.

Based on LPAs observations, records review, and staff and resident interviews, this agency has investigated the complaint alleging that the facility is illegally evicting the resident. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted, and a copy of this report was provided to the Executive Director, Lauren Vincent over the phone and Kitchen Chef, Brian Lebeuf as evidenced by his signature.

SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2