336426550-1-12-2023-18-AS-DMUN-CN9TP2-20230120135338

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426550
Report Date: 01/12/2023
Date Signed: 01/12/2023 02:35:29 PM

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
01/05/2023 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230105162201

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: 45	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Heather Scott, Executive Director		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Resident not being providing adequate food services

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegation list above. LPA met with Executive Director(ED) Heather Scott and explained the purpose of the visit. During today's visit, LPA interviewed one(1) staff, three(3) residents, toured the facility and obtained copies of pertinent documents. Regarding the allegation "Resident not being providing adequate food services", it was alleged that the facility often provides Resident #1(R1) with meat in their meals despite having knowledge of R1's vegetarian preferences. Interview conducted with R1 provided clarification that R1 does not eat red meat but does eat fish and fowl. R1 also provided clarification that fresh fruits and vegetables are desired as opposed to frozen. Review of the facility's food purchase invoices revealed foods such as fresh fruit, fresh vegetables, fish, shellfish, and chicken have been purchased weekly to accommodate R1's preferences. Interview with ED Scott revealed the facility is aware of R1's vegetarian preferences and does accomodate their preferences but those preferences have changed at times however, the facility makes adjustments to those changes and moves forward accordingly. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and copy of this report was provided along with LIC811- Confidential Names List.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

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 4

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
01/05/2023 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230105162201

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: 45	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Heather Scott, Executive Director		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Facility is in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegation list above. LPA met with Executive Director(ED) Heather Scott and explained the purpose of the visit. During today's visit, LPA interviewed one(1) staff, three(3) residents, toured the facility and obtained copies of pertinent documents. Regarding the allegation "Facility is in disrepair", it was alleged that the facility does not have an active working call button/call light system for residents and the facility was without hot water for approximately three(3) weeks in late November 2022 or early December 2022. Interviews conducted revealed the facility's recirculation broke and as a result, rooms 2 and 23 were without hot water in early December 2022. ED Scott reported the recirculation pump was repaired on December 14, 2022 and hot water has now been restored to rooms 3 and 23. ED Scott also reported the facility is without an opearable call button/call light system at this time and an entirely new system has been ordered and will be installed soon. ED Scott also reported residents in rooms 3 and 23 were provided with a temporary wireless call button which signals a siren and light should they require assistance. LPA observed these to be inoperational at the time of the visit. (CONTINUED ON LIC9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

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 4

Control Number 18-AS-20230105162201

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: 01/12/2023

NARRATIVE

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(CONTINUED FROM LIC9099)
Based on LPA’s observations, interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report was provided along with Appeal Rights.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 18-AS-20230105162201

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/12/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/01/2023 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	Maintenance and Operation- (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The facility has already purchased a new call button/light system. Proof provided to LPA at the time of the visit. Installation date is pending. Facility to provide written notifcation of scheduled installation date to LPA by February 1, 2023. Hot water services for all residents have already been restored and verified by LPA during today's visit.
	8 9 10 11 12 13 14	The licensee did not ensure the facility was maintained in good repair. Based on interviews conducted and LPA observations, the facility failed to maintain an active call button system and adequate hot water available for all residents. This poses a potential health, safety, and personal rights risk to residents in care.	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: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

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