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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426550
Report Date: 12/28/2022
Date Signed: 12/28/2022 11:35:46 AM

Unsubstantiated


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 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/20/2022 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221220133351
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:56CENSUS: 43DATE:
12/28/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Fanny Villalobos, Director of Resident ServicesTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in resident wandering away from facility
Unlawful Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner arrived unannounced to the facility to initiate an investigation into the allegations listed above. LPA met with Fanny Villalobos, Director of Resident Care and explained the purpose of today's visit.

LPA toured the facility, reviewed and obtained copies of relevant records for Resident One (R1), and then interviewed Administrator Heather Scott (S1), and R1.

Continued on LIC9099-C.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Jesse GardnerTELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
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-20221220133351
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 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: DESERT COVE ASSISTED LIVING AT DESERT HOT SPRINGS
FACILITY NUMBER: 336426550
VISIT DATE: 12/28/2022
NARRATIVE
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Regarding allegation, "Staff did not provide adequate supervision resulting in resident wandering away from facility." It was alleged that R1 left the facility and was found hitchhiking after wandering away from the facility. Document review revealed that R1 does not have wandering behaviors, and is relatively independent. After interview, R1 stated that they enjoy regular walks to keep good exercise. R1 expressed Therefore, this allegation was UNSUBSTANTIATED.

Regarding the allegation, "Unlawful Eviction." It was alleged that R1 had received an eviction on 12/20/2022 with an order to evict the premise. Interviews with S1 and R1 revealed that on 12/20/2022, R1 desired to leave on their own and went to sign out of the facility. S1 engaged R1 in conversation. During the verbal exchange, S1 told R1 that R1 was at "risk" of being evicted due to non-payment of rent for 3 consecutive months. R1 took the encounter as an eviction. An official eviction was never generated nor provided to R1. Due to conflicting accounts of the incident, coupled with the fact that there was no official eviction generated, this allegation was UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means that 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.

An exit interview was conducted and a copy of this report along with LIC9099-C, and LIC811- Confidential Names List was provided.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Jesse GardnerTELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2