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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366404072
Report Date: 09/05/2023
Date Signed: 09/05/2023 01:56:13 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
09/01/2023 and conducted by Evaluator Magda Malcore
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20230901085501
FACILITY NAME:DESERT ROSE ELDER CAREFACILITY NUMBER:
366404072
ADMINISTRATOR:MCGILL-CUNAGIN, SHARONFACILITY TYPE:
740
ADDRESS:73511 SUNNYVALE DR.TELEPHONE:
(760) 367-9175
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY:20CENSUS: 18DATE:
09/05/2023
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Sharon Mcgill-CunaginTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Staff handle residents in a rough manner
Staff do not treat residents with dignity
Staff yell at residents
Staff used inappropriate language towards a resident
Staff leave non-ambulatory resident in bed all day
Staff do not administer resident's medication as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Sharon Mcgill-Cunagin, Administrator and discussed the purpose of the visit. The investigation consisted of LPA observations, obtaining pertinent documents, and interviews with relevant parties.

Regarding allegation, staff handle residents in a rough manner, Administrator and staff interviewed deny handling residents in a rough manner. Residents interviewed deny staff treating them in a rough manner.
Regarding allegation, staff do not treat residents with dignity, Administrator and staff interviewed deny not treating residents with dignity. Residents interviewed deny that staff do not treat them with dignity.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda MalcoreTELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
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-20230901085501
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: 09/05/2023
NARRATIVE
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Regarding the allegation, staff yell at residents, Administrator and staff interviewed deny yelling at residents. Residents interviewed deny that staff yell at them.

Regarding the allegation, staff used inappropriate language towards a resident, Administrator and staff interviewed deny using inappropriate language towards a resident. Residents interviewed deny that staff use inappropriate language towards them.

Regarding the allegation, staff leave non-ambulatory resident in bed all day, Administrator and staff interviewed stated that resident 1 (R1) often refuses to get out of bed. Staff interviewed stated that attempts are made to get R1 out of bed, but staff do to force the resident to do so. Administrator and staff interviews reveal that residents are checked every two hours. Residents interviewed deny that staff have left in bed all day. R1 was unavailable for an interview at the time of LPA visit.

Regarding the allegation, staff do not administer resident's medication as prescribed, Administrator and staff interviewed deny not administering resident's medication as prescribed. Residents interviewed deny that staff are not administering their prescribed medications. R1 was unavailable for an interview at the time of LPA visit.

Based on evidence obtained during this investigation, the allegations are Unsubstantiated; meaning 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.
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda MalcoreTELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2