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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336400954
Report Date: 04/17/2025
Date Signed: 04/17/2025 11:32:13 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
03/18/2021 and conducted by Evaluator Eldin Serrano
COMPLAINT CONTROL NUMBER: 18-AS-20210318111153
FACILITY NAME:ATRIA PALM DESERTFACILITY NUMBER:
336400954
ADMINISTRATOR:FLORES, DENISEFACILITY TYPE:
740
ADDRESS:44300 SAN PASCUAL AVETELEPHONE:
(760) 773-3772
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:154CENSUS: 68DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Cheree Escandel, Executive DirectorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff did not seek medical attention for resident
Resident's care needs fee was unlawfully increased
Staff did not assist resident with medication
INVESTIGATION FINDINGS:
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On 4/17/2025 at 9:45 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano explained the purpose of the visit to the Executive Director Cheree Escandel. The investigation consisted of file review, interviews with related party as well as observation.

Allegation #1 Staff did not seek medical attention for resident– Based on record review and special incident report (SIR) submitted by the facility, every incident was reported, and resident #1 (R1) was assisted regarding medical needs. Proof of physicians' medical visits on file.

Allegation #2 Resident's care needs fee was unlawfully increased - Based on R1's admission agreement and correspondents/letters/notices were provided to R1 by the facility, it showed that the increased in fee was communicated to R1 .
*** Continuation in LIC9099C ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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-20210318111153
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: ATRIA PALM DESERT
FACILITY NUMBER: 336400954
VISIT DATE: 04/17/2025
NARRATIVE
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Allegation #3 Staff did not assist resident with medication – Based on record review of the physician’s report, the report stated that R1 can be able to administer R1’s own prescription and nonprescription medication. Facility resident functional needs service plan indicated that the resident medication management med level is 0 meaning R1 administer R1's own medication.

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A 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 allegations are unsubstantiated at this time.

An exit interview was conducted where this report, LIC9099, LIC9099C were discussed and provided to Executive Director Cheree Escandel.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Eldin Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2