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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426505
Report Date: 03/12/2026
Date Signed: 03/12/2026 11:47:12 AM

Substantiated


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
11/06/2025 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20251106134235
FACILITY NAME:STONEWALL GARDENS ASSISTED LIVINGFACILITY NUMBER:
336426505
ADMINISTRATOR:BRITTANY CABANASFACILITY TYPE:
740
ADDRESS:2150 N PALM CANYON DRTELEPHONE:
(760) 548-0970
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:35CENSUS: 26DATE:
03/12/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Clayshanisha Henson, Resident Service DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff physically assaulted resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Clayshanisha Henson, Resident Service Director. The Department investigation involved interviews with staff and residents and reviews of records.

On 11-06-2025, Community Care Licensing (The Department) received a complaint report with the following allegation.

It was alleged that staff physically assaulted resident. Information received indicated that Staff #1 (S1) struck Resident #1 (R1) in the face while providing care during night shift. As a result, R1 sustained bruising and swelling on the face.

Continued on LIC9099-C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
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 5
Control Number 18-AS-20251106134235
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: STONEWALL GARDENS ASSISTED LIVING
FACILITY NUMBER: 336426505
VISIT DATE: 03/12/2026
NARRATIVE
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The Department’s review of police report from Palm Springs Police Department confirmed the same allegation against S1, supported by two (2) photographs included in the police report. According to the police report, S1 was arrested for battery and elder abuse. The Department conducted an interview with R1 who stated R1 was hit in the face by S1, consistent with R1’s statement in the police report.

The Department conducted an interview with the Administrator. The Administrator called police upon learning of the incident on 08-26-2025. The Administrator stated that S1 was the only caregiver on duty during the incident. The Administrator stated that S1 was terminated on 08-28-2025. The Department met with S1 for an interview, but S1 declined and exercised right to remain silent. The Department did not obtain any further information from S1. The Department conducted an interview with Staff #2 (S2). S2 went to R1’s room for routine morning check on 08-26-2025. R1 told S2 about being hit in the face by S1 earlier in the morning. The Department conducted an interview with R1’s hospice agency personnel who stated that a hospice nurse visited R1 on 08-27-2025 to treat R1’s injuries on the face. R1 told the hospice nurse the same account about being hit in the face by S1. The Department’s interview with R1’s relevant party who visited R1 on 08-27-2025 confirmed that R1 shared the same account about being hit in the face by S1.

Based on interviews conducted and records review, the Department’s investigation found enough information to corroborate the allegation that staff physically assaulted resident. This allegation is substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was provided, along with a copy of LIC9099D, and Appeal Rights were provided.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
11/06/2025 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20251106134235

FACILITY NAME:STONEWALL GARDENS ASSISTED LIVINGFACILITY NUMBER:
336426505
ADMINISTRATOR:BRITTANY CABANASFACILITY TYPE:
740
ADDRESS:2150 N PALM CANYON DRTELEPHONE:
(760) 548-0970
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:35CENSUS: 26DATE:
03/12/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Clayshanisha Henson, Resident Service DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee did not notify relevant parties of incident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Clayshanisha Henson, Resident Service Director. The Department investigation involved interviews with staff and residents and review of records.

On 11/06/2025, Community Care Licensing (The Department) received a complaint report with the following allegation.

It was alleged that licensee did not notify relevant parties of incident. Information received indicated that responsible party (RP) of Resident #1 (R1) was NOT notified of the physical abuse incident that occurred on 08/26/2025. The Department conducted an interview with RP, who visited R1 on 08/27/2025 and observed a bruising on R1’s right eye. RP then spoke to the facility administrator and was informed about the physical abuse incident by the administrator.
Continuned on LIC9099-C...
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 18-AS-20251106134235
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: STONEWALL GARDENS ASSISTED LIVING
FACILITY NUMBER: 336426505
VISIT DATE: 03/12/2026
NARRATIVE
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The Department conducted an interview with the administrator, who stated that police were called, and a report was sent to the appropriate agencies after learning of the physical abuse incident. The Department obtained and reviewed the Palm Springs Police Department report which confirmed the date of the police report was filed. Based on interviews conducted and records review, the allegation that licensee did not notify relevant parties of incident is unfounded.

A finding of Unfounded means the allegation could not have happened, is false, and/or is without a reasonable basis.

An exit interview was conducted where a copy of this report was provided.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20251106134235
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: STONEWALL GARDENS ASSISTED LIVING
FACILITY NUMBER: 336426505
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/19/2026
Section Cited
CCR
87468.2(a)(8)
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87468.2 Additional Personal Rights of Residents in Privately Operated Facilities, (a)In addition to the rights listed in Section 87468.1, (9)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.
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Licensee agreed to provide reminder training of personal rights and will send proof of the training by the POC due date.
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This requirement was not met as evidenced by:
Based on interviews conducted and records review, R1 was physically abused by S1. This posed an immediate personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5