336426550-4-3-2024-18-AS-TDAN-D8MP7X-20240830110437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426550
Report Date: 04/03/2024
Date Signed: 04/03/2024 01:54:42 PM

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
03/25/2024 and conducted by Evaluator Sara Martinez

COMPLAINT CONTROL NUMBER: 18-AS-20240325140425

FACILITY NAME:	DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGS		FACILITY NUMBER:	336426550
ADMINISTRATOR:	HEATHER SCOTT		FACILITY TYPE:	740
ADDRESS:	13660 MOUNTAIN VIEW ROAD		TELEPHONE:	(760) 671-7820
CITY:	DESERT HOT SPRINGS	STATE: CA	ZIP CODE:	92240
CAPACITY:	56	CENSUS: 56	DATE:	04/03/2024
		UNANNOUNCED	TIME BEGAN:	09:26 AM
MET WITH:	Executive Director Heather Scott		TIME COMPLETED:	02:05 PM

ALLEGATION(S):

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Staff did not seek timely medical attention for resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to initiate and deliver findings regarding the allegation listed above. LPA was granted entry and met with Executive Director Heather Scott, who was Informed of the purpose of the visit. LPA toured the facility, conducted interviews, and collected pertinent documents regarding the allegation listed above.

Regarding the allegation “Staff did not seek timely medical attention for resident in care”, it was reported Resident One (R1) had requested to go to the hospital due to high blood pressure, shortness of breath, and feeling dizzy. Interview with R1 revealed R1 had informed staff on 03/23/2024 to go to urgent care due to not feeling well. Staff refused to send R1 to the hospital and gave R1 a PRN and instructed R1 to go to bed. Record Review of R1’s daily vital signs revealed on 03/23/2024 blood pressure was recorded at 182/83. Interview with Executive Director Scott revealed staff procedures for contacting paramedics due to a medical emergency is trauma to the head, chest pain, or high blood pressure. R1 stated they continued to ask staff to go to urgent care but was redirected.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Sara Martinez	TELEPHONE: (951) 605-0913
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

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-20240325140425

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: DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGS	FACILITY NUMBER: 336426550
	VISIT DATE: 04/03/2024

NARRATIVE

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Interview with Staff One (S1) revealed that R1 requested to be sent to urgent care on 03/24/2024 due to high blood pressure. S1 redirected R1 by checking their blood pressure before contacting the paramedics which was documented at 128/82 and asked R1 if they still wanted to go to urgent care or if R1 wanted to wait a couple of hours and check again. R1 agreed to wait, and a PRN was given. Record review of an email from Executive Director Scott revealed staff was aware R1 wanted to go to the emergency room but staff had redirected R1’s attempt to get medical care. Interview with Executive Director Scott revealed staff procedures for contacting paramedics due to a medical emergency is trauma to the head, chest pain, or high blood pressure. Therefore, based on interviews and record review, the allegation “Staff did not seek timely medical attention for resident in care” has been deemed substantiated at this time.

A finding that the complaint is SUBSTANTIATED means the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated means that the allegation is valid. A citation is being issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 3) on the attached 9099D.

An exit interview was conducted, and a copy of this report was given to Scott along with the LIC 9099-D, LIC 811, and appeal rights.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Sara Martinez	TELEPHONE: (951) 605-0913
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20240325140425

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: DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGS	FACILITY NUMBER: 336426550
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/03/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/12/2024 Section Cited CCR 87468.1(a)(16)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to review Personal Rights of Residents with all staff and educate them on residents' rights to contact 911. Licensee to provide LPA with proof of all-staff meeting or training, including all staff's names, signatures, and date. Proof of correction will be sent by 04/12/2024
	8 9 10 11 12 13 14	Based on interviews and record review, Licensee did not comply with the above regulation with at least one resident (R1). LPA confirmed facility staff did not ensure R1 was taken to urgent care as requested which poses a potential personal rights, health, and safety risk.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Sara Martinez	TELEPHONE: (951) 605-0913
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

LIC9099 (FAS) - (06/04)

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