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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880666
Report Date: 01/21/2025
Date Signed: 04/09/2025 01:53:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
01/13/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20250113153026
FACILITY NAME:DESERT ARCFACILITY NUMBER:
361880666
ADMINISTRATOR:ANDERSON, DIANNAFACILITY TYPE:
775
ADDRESS:56315 29 PALMS HWYTELEPHONE:
(760) 346-1611
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:75CENSUS: 25DATE:
01/21/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Ray Gosnell TIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not properly execute an emergency intervention plan for a client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Ray Gosnell and explained the purpose of the visit.

Regarding the allegation above, LPA interviewed four (4) staff members. All 4 staff reported that on November 6, 2024, Client #1 (C1) displayed aggressive behavior. Facility staff worked together to de-escalate the situation, contacted the client’s responsible party, and called 911 for assistance. According to staff interviews and record review, C1 was not typically known for frequent behavioral issues. A review of staff trainings confirmed that personnel received the necessary preparation to support clients in care. No evidence or witnesses were found to support the allegation.

In addition, LPA Ramirez conducted interviews with two clients. Both clients stated that staff acted kindly toward the client and made efforts to calm them down.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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-20250113153026
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: DESERT ARC
FACILITY NUMBER: 361880666
VISIT DATE: 01/21/2025
NARRATIVE
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Based on LPAs observations, record review, and interviews, the above allegation is Unsubstantiated. A finding that complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and this report was discussed and a copy was provided to Administrator Ray Gosnell.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2