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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426550
Report Date: 04/27/2026
Date Signed: 04/27/2026 12:05:20 PM

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
06/23/2021 and conducted by Evaluator Janette Romero
COMPLAINT CONTROL NUMBER: 18-AS-20210623112805
FACILITY NAME:DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGSFACILITY NUMBER:
336426550
ADMINISTRATOR:HEATHER SCOTTFACILITY TYPE:
740
ADDRESS:13660 MOUNTAIN VIEW ROADTELEPHONE:
(760) 671-7820
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:0CENSUS: DATE:
04/27/2026
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:TIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Resident sustained an injury while in the care
Facility in disrepair
INVESTIGATION FINDINGS:
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On 04/27/2026, Licensing Program Analyst (LPA) Janette Romero 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 05/08/2025.

Regarding the allegation, “Resident sustained an injury while in the care” it was alleged that on 06/18/2021, Resident 1 (R1) sustained a cut on their arm and head and was transported to the hospital. It was reported that R1 was in the dining room where the temperature was 101 degrees Fahrenheit with only one small fan and R1 may have passed out due to the heat. On 06/21/2021, Community Care Licensing (CCL) received an incident report from the facility reporting that R1 was found next to their bed and emergency services were activated. Two (2) of two (2) staff interviewed only had knowledge that a resident had a fall. Administrator Scott was interviewed and reported R1 moved into the facility in June 2021 and moved out of the facility in July 2021. Administrator Scott was unable to locate R1’s resident records and reported not having knowledge any of the facility residents have fainted/passed out due to the heat.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
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
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
06/23/2021 and conducted by Evaluator Janette Romero
COMPLAINT CONTROL NUMBER: 18-AS-20210623112805

FACILITY NAME:DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGSFACILITY NUMBER:
336426550
ADMINISTRATOR:HEATHER SCOTTFACILITY TYPE:
740
ADDRESS:13660 MOUNTAIN VIEW ROADTELEPHONE:
(760) 671-7820
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:0CENSUS: DATE:
04/27/2026
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:TIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility not providing a comfortable temperature for residents in facility
INVESTIGATION FINDINGS:
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5
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7
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13
On 04/27/2026, Licensing Program Analyst (LPA) Janette Romero 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 05/08/2025.

Regarding the allegation, “Facility not providing a comfortable temperature for residents in facility” it was alleged that on 06/18/2021 the air conditioner was not working in the facility and the temperature outside was 118 degrees Fahrenheit. It was also alleged that the dining room temperature was 101 degrees F and residents were taking off their clothes and some of the air conditioners in the resident rooms were not working. The identities of the affected residents were not provided therefore CCL staff interviewed a random sample of the population that resided in the facility on 06/18/2021.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20210623112805
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: 04/27/2026
NARRATIVE
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Six (6) of eight (8) resident interviews conducted reported the facility air conditioner to be working properly and/or the temperature in the facility to feel comfortable. Two (2) of eight (8) residents interviewed reported the facility temperature felt too hot and uncomfortable with one (1) resident estimating the indoor temperature to be 85 degrees. One (1) of eight (8) residents interviewed reported that the facility staff placed portable air conditioners in the dining room, but the temperature was still too hot.

Two (2) of two (2) staff interviewed corroborated the allegation and reported the facility had problems with the air conditioner cooling properly in the dining room. One (1) of two (2) staff interviewed reported staff purchased new air conditioning units. However, the outside temperature was 122 degrees Fahrenheit while the dining room temperature was 75 degrees Fahrenheit, humid, and uncomfortable. One (1) of two (2) staff interviewed reported also witnessing the temperature to be 121 degrees Fahrenheit. Administrator Scott was unable to recall whether any facility air conditioning units were in disrepair on or around June of 2021 and reported any issues with air conditioning units would have been solved immediately. She provided LPA with an expense report documenting several portable air conditioning units that were purchased for the facility beginning 06/11/2021 along with a copy of a check dated 10/01/2021 used for the dining room air conditioner replacement. She also reported that residents diagnosed with dementia will occasionally remove their clothing due to feeling uncomfortable in the material despite the weather or temperature in the facility.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore this allegation is found to be substantiated. California Code of Regulations (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099 D. Due to the facility's closure on 05/08/2025, LPA was unable to conduct an interview with a facility representative. As a result, LPA mailed this report to the ex-licensee’s last known mailing address via USPS certified mail, to communicate the findings related to this allegation.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 18-AS-20210623112805
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: 04/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/27/2026
Section Cited
CCR
87303(b)
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87303 Maintenance and Operation
(b) A comfortable temperature for residents shall be maintained at all times.

This requirement was not met as evidenced by:
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Due to the facility's closure on 05/08/2025, a plan of correction is unable to be developed.
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Based on interviews conducted, the temperature in the facility dining room was hot and uncomfortable for the residents. This posed a potential health, safety, or personal rights to residents 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: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20210623112805
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: 04/27/2026
NARRATIVE
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Regarding the allegation, “Facility in disrepair” it was alleged that on 06/17/2021 a resident residing in the room four doors from the main office was unable to get out of their room due to wires from a broken light fixture hanging down in front of their door. One (1) of two (2) staff interviewed was not aware of any wires hanging in the facility. One (1) of two (2) staff interviewed reported that one (1) resident had a broken lamp but there were no wires hanging from it. One (1) of two (2) residents interviewed reported observing wires hanging in front of resident bedroom #4 and the resident residing in the room was unable to open the door. The residents identified to reside in bedroom #4 on 06/24/2021 have since moved out of the facility and there is no forwarding contact information for them. Administrator Scott was interviewed and reported the facility nails and zip ties lighting wires above the front of each resident bedroom door. She does not recall observing a resident on 06/17/2021 being unable to get out of their room due to wires hanging down in front of their door. Administrator Scott has observed that the wires begin to flap if a nail gets loose or comes off after the facility experiences high winds. However, as soon as this is observed, maintenance staff would nail/zip tie the wires back in place. She was unable to recall/identify the maintenance staff assigned on or around June 2021. Administrator Scott reported the wires dropping would not prevent a resident from opening the door to get out. LPA toured bedroom #4 and observed the room had two exit doors leading to the facility’s courtyard and front patio.

Although the allegations may have happened or are valid, the preponderance of evidence standard was not met to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. Due to the facility’s closure on 05/08/2025, LPA was unable to conduct an exit interview. As a result, LPA 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.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5