336400954-10-29-2024-18-AS-JDHS-DBVQV2-20241212112935

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 10/29/2024
Date Signed: 10/29/2024 04:15:37 PM

Unsubstantiated

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
05/08/2023 and conducted by Evaluator Yolanda Delgado

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230508091711

FACILITY NAME:	ATRIA PALM DESERT		FACILITY NUMBER:	336400954
ADMINISTRATOR:	FLORES, DENISE		FACILITY TYPE:	740
ADDRESS:	44300 SAN PASCUAL AVE		TELEPHONE:	(760) 773-3772
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	154	CENSUS: 74	DATE:	10/29/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Cheree Escandel, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff caused injuries to a resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Cheree Escandel, Administrator and explained the purpose of the visit.

On May 8, 2023, Community Care Licensing received a complaint alleging staff caused injuries to a resident while in care. LPA conducted interviews with Administrator, staff, and additional witnesses. LPA also conducted a review of pertinent documentation. LPA was unable to interview Resident #1 (R1) in order to obtain pertinent information due to R1 passing away on September 21, 2022.

Regarding the allegation staff caused injuries to a resident while in care, it was reported that on May 17, 2022, R1 fell off his motorized scooter while getting off the Atria community bus. It was reported that the ramp was not placed properly when R1 exited the bus, causing R1 to crash into the curb. Information
(Continued on Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

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-20230508091711

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: ATRIA PALM DESERT	FACILITY NUMBER: 336400954
	VISIT DATE: 10/29/2024

NARRATIVE

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(Continued from Page 1)

obtained from Administrator indicated that the ramp on the bus was placed securely on the ground and R1 exited the bus without incident, Administrator indicated that R1 did fall off his motorized, but away from the facility. Administrator stated R1 was leaving the facility and fell off his motorized scooter and the corner of the facility. Information obtained from staff interviews revealed that R1 had arrived back from an appointment transported by facility staff in the facility bus. R1 was assisted off the transportation bus safely by staff member. R1 was observed on their personal scooter traveling away from the facility when R1 fell off their scooter and hit their head. Staff indicated they contacted emergency personnel and remained with R1 until medical services arrived. It was advised that facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Records were reviewed and revealed R1 was independent and was able to leave the facility unsupervised. Medical records pertaining to the incident revealed R1 sustained a head laceration and first- and second-degree burns and Emergency personnel reported R1 was found on the street corner of Catalina Way and San Pascual Ave and not on the facility property.

Based on staff interviews, emergency personnel reports, facility records, the allegation that staff caused injuries to a resident while in care is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

LIC9099 (FAS) - (06/04)

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