331880722-12-4-2025-18-AS-RORN-DP8LPR-20251210075620

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880722
Report Date: 12/04/2025
Date Signed: 12/04/2025 11:07:32 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
01/26/2024 and conducted by Evaluator Mary G Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240126082906

FACILITY NAME:	DESERT HILLS MEMORY CARE CENTER		FACILITY NUMBER:	331880722
ADMINISTRATOR:	HUDSON, CHANTELLE		FACILITY TYPE:	740
ADDRESS:	25818 COLUMBIA ST		TELEPHONE:	(951) 652-1837
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	58	CENSUS: 32	DATE:	12/04/2025
		UNANNOUNCED	TIME BEGAN:	07:32 AM
MET WITH:	Shannon Moore - Executive Director		TIME COMPLETED:	08:15 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility management retaliated against staff member
Facility is not following their plan of operation

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Shannon Moore and explained the reason for the visit.

The investigation consisted of the following: On 1/30/24 LPA Ross conducted initial investigation visit. On 12/1/25 LPA Flores requested pertaining documents. On 12/3/25 LPA Flores conducted interviews with 6 residents and 6 staff. On 12/4/25 LPA Flores delivered findings.

The investigation revealed the following: Regarding allegation: Facility management retaliated against staff #1(S1). It is alleged licensee retaliated against staff for bringing up concerns. . Interviews with residents revealed residents did not have concerns about the staff. Interviews with 6 staff revealed 6 out of 6 staff stated management has not retaliated against the staff. 1 out of the 6 stated there was a staff in management before that was difficult to communicate with and 1 out of the 6 staff mentioned they rather not bring up issues to management. (CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

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 18-AS-20240126082906

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: DESERT HILLS MEMORY CARE CENTER	FACILITY NUMBER: 331880722
	VISIT DATE: 12/04/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Per Executive Director, the management team had concerns that had been brought up to them regarding communication from S1 towards others. However, it was the staff that resigned and was not fired. Per documents reviewed S1 provided a resignation letter to the facility on 1/3/24 and their last day of employment was 1/24/24.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Facility does not follow their plan of operation. It is alleged facility did not have a plan to provide training to staff to deal with residents that have behaviors. Interviews conducted with residents revealed facility’s staff provide adequate care to the residents. Interviews with staff revealed staff receive 40 hours of initial training and throughout the year they complete their additional training yearly, including behavioral response training. Documents reviewed revealed in 11/7/24, 12/3/24, and 12/18/24, staff received training in the following topics: Psychosocial Needs of the Elderly, Takes a Village Other Side of the Mirror, Positive Therapeutic Interventions and Activities.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Shannon Moore and a copy of this report was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2