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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336425566
Report Date: 08/08/2023
Date Signed: 08/08/2023 12:41:18 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
08/02/2023 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20230802155828
FACILITY NAME:HOVLEY CARE LLCFACILITY NUMBER:
336425566
ADMINISTRATOR:SVETLANA CALAMAROFACILITY TYPE:
740
ADDRESS:40827 HOVLEY COURTTELEPHONE:
(760) 568-4100
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:6CENSUS: 5DATE:
08/08/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Alicia Sical, caregiverTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee refusing to provide medication to resident.
Licensee not keeping facility adequate temperature for residents in care.
INVESTIGATION FINDINGS:
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On 08/08/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation(s). LPA met with caregiver, Alicia Sical who was informed of the purpose of the visit. At the time of visit, LPA interviewed staff and resident and conducted facility inspection.
Regarding the allegation “Licensee refusing to provide medication to resident”, It was alleged Licensee refused to give resident medication unless resident’s responsible party provides medical POA documents. LPA interviewed Licensee who denied refusing to give resident medications. Licensee stated resident’s medications are administered to resident daily. Licensee stated resident is constantly requesting for PRN medications even when not needed and requesting medications be stored in resident’s room. Licensee stated the medical POA documents was requested because staff needs someone to communicate with about resident’s medical needs. LPA interviewed resident who denied Licensee refused to provide medication to resident. Interview with resident revealed resident receives medication daily. UNSUBSTANTIATED.

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
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-20230802155828
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: HOVLEY CARE LLC
FACILITY NUMBER: 336425566
VISIT DATE: 08/08/2023
NARRATIVE
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Continued from LIC9099.

Regarding the allegation “Licensee not keeping facility adequate temperature for residents in care”, it was alleged resident’s room was 87 degrees Fahrenheit. Staff was interviewed who stated two weeks ago the air conditioner was broken. Staff stated resident was moved to the living room where it was cooler. Staff stated the landlord, and the air conditioner repairer was immediately called and the air conditioner was fixed in two #2 hours. LPA interviewed resident who stated the temperature is okay. LPA inspected facility temperature including resident’s room and observed facility to be cool at 75, 76, 80 degrees Fahrenheit. LPA observed resident room had air conditioner and fan. UNSUBSTANTIATED.

Based on interviews with staff, resident, and facility inspection there is not enough evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Alicia Sical.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2