336413251-5-24-2026-18-AS-RORN-DUHMSS-20260528095224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336413251
Report Date: 05/24/2026
Date Signed: 05/24/2026 10:43:44 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
05/13/2024 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240513121324

FACILITY NAME:	HAPPY NEST II		FACILITY NUMBER:	336413251
ADMINISTRATOR:	CLAIRE ITCHON		FACILITY TYPE:	740
ADDRESS:	3180 E. VISTA CHINO		TELEPHONE:	(760) 992-9645
CITY:	PALM SPRINGS	STATE: CA	ZIP CODE:	92262
CAPACITY:	6	CENSUS: 0	DATE:	05/24/2026
		UNANNOUNCED	TIME BEGAN:	08:14 AM
MET WITH:	Clarie Ichon – Administrator		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Staff do not communicate with resident's Primary Care Physican.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Tena Herrera conducted an unannounced subsequent visit investigate the above-mentioned allegation. LPA met with Administrator Claire Itchon and the purpose for the visit was explained.

The investigation consisted of the following:
On 5/21/24 LPA’s Sara Martinez and Valerie Flores conducted the initial 10-day visit. LPAs toured the facility, conducted interviews with staff and collected pertinent documents related to Resident #1 (R1).
On 5/22/26 LPA Herrera conducted phone interviews with 2 Staff (S1 & S2).
During todays visit LPA Herrera toured facility, interviewed 1 Staff (S3), obtained the following documents within R1’s file: Admission Record (dated 3/14/24), Physical History and Exam (dated 2/15/24), Occupational Therapy Notes (dated 3/13/24), Post Acute Progress Notes (dated 3/12/24), SIRs dated 5/1/24 and 5/10/24; reviewed licensee phone text messages with Physican and R1's Daughter, and delivered findings on the reported allegation. (Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2026

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-20240513121324

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: HAPPY NEST II	FACILITY NUMBER: 336413251
	VISIT DATE: 05/24/2026

NARRATIVE

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The investigation revealed the following:
Allegation: Staff do not communicate with resident's Primary Care Physician.
It is alleged that staff at the facility are not aware of R1’s medical conditions and/or history and have a lack of communication with C1 and their physicians. LPA interviewed 2 staff and both denied the allegation, S1 stated that they are involved with their residents at the facilities and keep good communication and record keeping with family and physicians. It was explained by S1 that R1 had an assigned nurse practitioner that would check on R1 and together they would assess the resident, R1 had been sent to the hospital twice, 5/1/24 R1 was hospitalized due to blood in catheter and 5/10/24 R1 was hospitalized per R1’s daughter and physicians request, R1 did not return to facility after hospitalization. Per S1, R1 was within baseline, urine was clear, R1 did not have pain and was responsive on 5/10/24, staff did not understand why daughter and physician were removing resident from facility, but the decision was respected. S1 stated they have tried to contact R1’s daughter after the hospitalization but there have been no returned calls, and provided proof of text message tread from 3/20/24 to 5/10/24 that had communication regarding R1's status, and need for medication refills. LPA obtained SIRs dated 5/1/24 and 5/10/24 that documented the information S1 provided regarding hospitalization's. LPA toured the facility; there are currently no residents at the facility. S1 stated that there haven’t been any residents at the facility since September 2026 and the facility is temporarily closed due to no census.

Based on statements, interviews conducted, and review of resident files, there was not enough supportive evidence to concur with the reported allegation. 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 allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2026

LIC9099 (FAS) - (06/04)

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