366404072-3-22-2021-18-AS-JESL-BZTQBJ-20210406120137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366404072
Report Date: 03/22/2021
Date Signed: 03/22/2021 10:58:10 AM

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
10/07/2020 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20201007094819

FACILITY NAME:	DESERT ROSE ELDER CARE		FACILITY NUMBER:	366404072
ADMINISTRATOR:	COLE, KATHLEEN		FACILITY TYPE:	740
ADDRESS:	73511 SUNNYVALE DR.		TELEPHONE:	(760) 367-9175
CITY:	TWENTYNINE PALMS	STATE: CA	ZIP CODE:	92277
CAPACITY:	20	CENSUS:	DATE:	03/22/2021
		UNANNOUNCED	TIME BEGAN:	10:33 AM
MET WITH:	Licensee Sharon (Shari) McGil-Cunagin		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff were disrespectful to the resident.
Resident is not getting his needs met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javina George contacted the facility for the purpose of delivering findings for the above allegation(s). LPA George met with Licensee Shari Cunagin and explained the purpose of visit.
The above complaint was investigated by the department. The investigation consisted of interviews of staff and residents, as well as obtaining pertinent documentation related to the complaint.

Allegation: Staff were disrespectful to the resident.
Based on a review of information gathered from documentation, and interviews, LPA was unable to corroborate the allegation. Interviews conducted revealed that resident #1 (R1) had become incoherent and had a decline in their health with the diagnosis going undetected. On occasion facility staff did have to raise their voice to R1, in order to get R1 to focus on a task that needed to be completed; such waking up or eating a meal. Per Licensee, if staff did raise their voice is was not to be disrespectful. Licensee also admitted that It was a scary and frustrating time, due to having R1, sent out to the emergency room on two separate occasions to be sent right back to the facility in the same state or condition in which he was sent out for.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20201007094819

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 ROSE ELDER CARE	FACILITY NUMBER: 366404072
	VISIT DATE: 03/22/2021

NARRATIVE

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The above allegation of Staff were disrespectful to the resident is UNSUBSTANTIATED finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

Allegation #2: Resident is not getting their needs met.
LPA George interviewed multiple staff and R1's responsible party. The Responsible stated that at no time was there a concern about the care and treatment that R1 was being given. The facility staff were in constant communication about R1s changing condition. It was not until the Licensee had to transport R1 in her personal vehicle to take R1 to a different hospital that was about 30 minutes away.

At that time R1 was admitted and received a proper diagnosis of lymphoma. Licensee had expressed the frustration with knowing that something was wrong but R1 kept getting sent back to the facility without a proper diagnosis. Based on interviews and documentation that shows the attempts made to ensure that R1's needs were met, LPA was unable to corroborate the allegation of Resident is not getting their needs met.

The above allegation of Resident is not getting their needs met is UNSUBSTANTIATED. finding that the complaint is UNSUBSTANTIATED means 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, therefore the allegation is unsubstantiated at this time.

An exit interview was conducted and a copy of this report, 9099C and LIC811- confidential names list was provided to the Licensee Sharon (Shari) McGil-Conagin.

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2021

LIC9099 (FAS) - (06/04)

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