366404072-6-16-2023-56-AS-KCLS-CTDSSG-20230703140753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366404072
Report Date: 06/16/2023
Date Signed: 06/16/2023 12:53:30 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
06/14/2023 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230614141726

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: 19	DATE:	06/16/2023
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Shari McGill-Cunagin, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff do not have criminal record clearances
Staff do not have the required training to meet residents needs
Staff gave resident another resident's medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Shari McGill-Cunagin and discussed the purpose of the visit.
The investigation consisted of resident and staff interviews, obtaining relevant documents, and a tour of the facility.

Regarding allegation #1, staff do not have criminal record clearances, All staff files reviewed and all staff present at the facility during the visit had the required fingerprint clearance and are associated to the facility.

Regarding allegation #2, staff do not have the required training to meet resident’s needs, LPA reviewed four (4) staff files. All staff files reviewed have the appropriate training in the job assigned to them. All four (4) staff interviewed stated that the facility has provided on-the-job training. All three (3) residents interviewed stated that staff are knowledgeable at their job.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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 56-AS-20230614141726

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: DESERT ROSE ELDER CARE	FACILITY NUMBER: 366404072
	VISIT DATE: 06/16/2023

NARRATIVE

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Regarding allegation #3, Staff gave resident another resident’s medication, LPA reviewed four (4) resident’s centrally stored medication records, which did not reveal an indication of medication errors. All three (3) residents interviewed deny staff giving them another resident's medication in error.

Based on evidence obtained during this investigation, there is not enough evidence to corroborate the allegations, therefore the allegations are Unsubstantiated; 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. No deficiencies were cited during today’s visit.

An exit interview was conducted where this report was discussed, and a copy was provided to Shari McGill-Cunagin at the conclusion of the visit.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

LIC9099 (FAS) - (06/04)

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