336426505-3-27-2024-18-AS-JDHS-D3TPJM-20240329112145

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426505
Report Date: 03/27/2024
Date Signed: 03/27/2024 10:37:22 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
02/12/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20240212161807

FACILITY NAME:	STONEWALL GARDENS ASSISTED LIVING		FACILITY NUMBER:	336426505
ADMINISTRATOR:	LAUREN KABAKOFF		FACILITY TYPE:	740
ADDRESS:	2150 N PALM CANYON DR		TELEPHONE:	(760) 548-0970
CITY:	PALM SPRINGS	STATE: CA	ZIP CODE:	92262
CAPACITY:	35	CENSUS: 20	DATE:	03/27/2024
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Kitchen Manager, Brian Lebeuf		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Staff did not ensure resident attended his medical appointments
Staff did not meet resident's dietary needs
Staff mismanaged resident's medication
Staff falsified residents' records
Administrator is not at the facility a sufficient amount of time

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to deliver findings for a complaint investigation regarding the allegations listed above. LPA met with Executive Director, Lauren Vincent over the phone and met with Kitchen Chef, Lebeuf and explained the purpose of the visit and the elements of the investigation. LPA Banrasavong conducted the investigation, which consisted of observation, interviews with staff members, residents, and record reviews. LPA was unable to interview additional witnesses in order to obtain pertinent information.
On 02/12/2024, Community Care Licensing received a complaint alleging that the facility is not ensuring resident is attending his medical appointments. The LPA attempted to reach out to the Reporting Party (RP) on three separate occasions but was not able to make contact with the RP. LPA interviewed the resident (R1) that was named in the complaint. During the interview, the resident indicted that they had no issues with getting any resources needed to attend their medical appointments. The resident indicted that they did not miss any medical appointments. The resident also indicted that they were able to get their medications on time, without any issues. They stated that there was always a Med Tech available when they needed one. R1 stated that they did not have any issues or concerns with the facility and it’s care and supervision.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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)

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Control Number 18-AS-20240212161807

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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During the initial 10-day visit, the LPA spoke to the Administrator, Lauren Vincent over the phone and the Marketing & Resident Enrichment Director, Brian Trout in regards to the Administrator’s hours and schedule at the facility. It was alleged that the Administrator was not at the facility for a sufficient amount of time. The random 5 residents that the LPA interviewed stated that that was not an issue for them. The staff also echoed that sentiment. The Administrator stated that she was present at the facility for a sufficient amount of time to meet the needs of the residents.

In regards to the allegations that the facility is not meeting resident’s dietary needs, after record reviews, interviews with the Head Chef and Marketing and Resident Enrichment Director, there was no resident who resided that the facility, that had a special dietary plan or restriction. The LPA randomly interviewed residents who stated that they had no issues with getting medication or being transported to their doctor’s appointments. The LPA reviewed 5 random medications and MARS, in which it appeared that the medications were accurately dispensed and logged. The Med Tech, Nisha Henson, stated that there were no issues with residents receiving their medications.

In regards to the facility falsifying records, the LPA was not able to interview additional witnesses regarding the complaint. The Marketing & Resident Enrichment Director, Brian Trout and Executive Director, Lauren Vincent denied this allegation. The residents interviewed indicted that they did not have any issues or concerns regarding this complaint.

Based on LPAs observations, records review, and staff and resident interviews, this agency has investigated the complaint alleging that the facility, Staff did not ensure resident attended his medical appointments, Staff did not meet resident's dietary needs, Staff mismanaged resident's medication, Staff falsified residents' records, Administrator is not at the facility a sufficient amount of time are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the Executive Director, Lauren Vincent over the phone and provided to Kitchen Chef, Brian Lebeuf as evidenced by his signature.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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)

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