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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336408433
Report Date: 11/08/2025
Date Signed: 11/08/2025 05:11:49 PM

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
09/07/2023 and conducted by Evaluator Erica Mosley
COMPLAINT CONTROL NUMBER: 18-AS-20230907114355
FACILITY NAME:VISTA COVE AT RANCHO MIRAGEFACILITY NUMBER:
336408433
ADMINISTRATOR:JACK POYFAIRFACILITY TYPE:
740
ADDRESS:70201 MIRAGE COVE DRIVETELEPHONE:
(760) 324-4604
CITY:RANCHO MIRAGESTATE: CAZIP CODE:
92270
CAPACITY:68CENSUS: 32DATE:
11/08/2025
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Jennifer "Lola" Andrews - Resident Services Director
Executive Director (ED) Patrick McAoo-Morton
TIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Facility is threatening to evict a resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced subsequent complaint visit to investigate the above listed allegation. The purpose of this visit is to deliver findings for the above listed allegation. Upon arrival at 11:50 a.m., LPA Mosley was greeted by Marketing Coordinator, Angel Ibarra who called the Manager on duty and the Executive Director. LPA met with Residences Services Director Jennifer “Lola” Andrews and Executive Director (ED) Patrick McAoo-Morton and the reason for the visit was explained. Entrance interview conducted.
On 09/07/2023, the Department received a complaint regarding the following allegation, Facility is threatening to evict a resident. On 9/11/2023 LPA Yolanda Delgado conducted the unannounced initial 10-day complaint visit, conducted an in-person interview with one (1) staff, and obtained copies of pertinent documents relevant to the investigation. On 9/11/2023 corresponded via email and telephonically with the Spouse of Resident #1 (SR1) and obtained copies of pertinent documents relevant to the investigation.
Report continued on LIC 9099-C PAGE 2...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2025
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-20230907114355
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: VISTA COVE AT RANCHO MIRAGE
FACILITY NUMBER: 336408433
VISIT DATE: 11/08/2025
NARRATIVE
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(Page 2) Report continued from LIC 9099...

During today’s visit, starting at 11:50 a.m. LPA conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns, and facility is in compliance with Title 22 Regulations. Starting at 12:40 p.m. LPA Mosley conducted a file review for R1, at 1:00 p.m. conducted an in-person interview with the RSD, at 1:25 p.m. conducted an in-person interview with R1, at 1:42 p.m. attempted to conduct a telephonic phone call with SR1, at 2:10 p.m. conducted an in-person interview with the ED and obtained copies of pertinent documents relevant to the investigation.

On the allegation Facility is threatening to evict a resident, it is the concern of the reporting party (RP) that the facility threatened to evict Resident #1 (R1). To investigate this complaint, LPA’s Delgado and Mosley conducted in person interviews, telephonic interviews, file and record review corresponded via email and obtained copies of pertinent documents relevant to the investigation. Interview with the ED at the time revealed that they did not issue an eviction notice to R1. At the time R1 only had one (1) late payment which was on August 31, 2023. R1 received a late payment fee as agreed upon in the admission agreement. It was noted that any resident who pays their rent after the 5th of each month will receive a late fee. Additionally, it was noted that R1 was made aware that if payment was not received an eviction notice would be given after the 30th day. Interview with SR1 revealed that they receive funds through Genworth Financial, a long-term care insurance company that funds R1 to stay at the facility. The insurance company payments do not always arrive on the scheduled payment due date resulting in late payments. It was noted that an agreement was made with the facility to accept the resident based on the payment fluctuations. Interview with R1 revealed that due to their condition they are unable to provide information. Interview with the current ED revealed that R1 is still in the community. R1 has lived in the community since 2020. R1’s invoice is paid regularly, however the dates on when payments are made fluctuate however payments are made within the designated month. Record review revealed that R1 does not have any formal documentation in their file related to an eviction. R1’s statement revealed that on 08/01/2023 R1 had a balance of $6,132.00 that was not paid. On 09/01/2023 R1’s statement balance was $12,214.00. On 09/05/2023 a payment of $6,132.00 was made and on 09/21/2023 the remaining balance of $6,082.00 was made. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Facility is threatening to evict a resident is deemed unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Erica Mosley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2