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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800450
Report Date: 10/27/2023
Date Signed: 10/27/2023 12:07:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
05/22/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20230522092003
FACILITY NAME:VALLEY STAR CRT-MORONGO OASIS CENTERFACILITY NUMBER:
361800450
ADMINISTRATOR:HEBESISH, SUZAN ABOUFACILITY TYPE:
772
ADDRESS:60805 29 PALMS HIGHWAYTELEPHONE:
(760) 974-5990
CITY:JOSHUA TREESTATE: CAZIP CODE:
92252
CAPACITY:16CENSUS: 15DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Suzan Abou-Hebeish, AdministratorTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Licensee does not adequately staff facility to meet resident needs
Staff are not providing adequate food service to residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Suzan Abou-Hebeish, Administrator and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent document review, and interviews with staff and residents.
Regarding the allegation, licensee does not adequately staff facility to meet resident needs, Interviews with five (5) staff reveal, facility has staff coverage 24 hours a day, 7 days a week. Staff often work 12-hours shifts to ensure resident care and supervision. If needed, additional Nursing assistance is provided through an outside agency. Interviews with five (5) residents reveal, staff are meeting their needs. In addition, there is insufficient evidence to corroborate the concern that the Program Director and the Administrator are never at the facility.

Regarding the allegation, staff are not providing adequate food service to residents, LPA observed a sufficient supply of non-perishable and perishable foods for residents in care. Facility menus reflect a variety of nutritional meals. Interviews with five (5) staff reveal, residents are provided breakfast, lunch, dinner, and 3 snacks daily. Interviews with five (5) residents reveal, the facility is providing breakfast, lunch, dinner and snacks. Residents stated that staff have not missed providing them with food service.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
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 2
Control Number 56-AS-20230522092003
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VALLEY STAR CRT-MORONGO OASIS CENTER
FACILITY NUMBER: 361800450
VISIT DATE: 10/27/2023
NARRATIVE
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Based on evidence obtained during the investigation, the allegations are Unsubstantiated. An unsubstantiated finding 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 where this report was discussed, and a copy of this report was provided to the Administrator at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2