336426747-7-10-2023-18-AS-JESL-CU8THH-20230730144445

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426747
Report Date: 07/10/2023
Date Signed: 07/10/2023 02:25:20 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/05/2023 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230705165403

FACILITY NAME:	ANGELIC HANDS ASSISTED LIVING		FACILITY NUMBER:	336426747
ADMINISTRATOR:	LUNA, SYNTHIA MARIE		FACILITY TYPE:	740
ADDRESS:	82397 STRADIVARI ROAD		TELEPHONE:	(760) 342-0248
CITY:	INDIO	STATE: CA	ZIP CODE:	92203
CAPACITY:	6	CENSUS: 1	DATE:	07/10/2023
		UNANNOUNCED	TIME BEGAN:	01:18 PM
MET WITH:	Synthia Luna, Licensee		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff are not allowing resident to leave the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Javina George and Janette Romero made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation listed above. LPAs were greeted and granted entry by Licensee Synthia Luna, where LPAs explained the purpose of the visit and the elements of the allegation(s). The allegation(s) was investigated, the investigation consisted of observation, interviews and record review.

Regarding the allegation staff are not allowing resident to leave the facility.
Per Ms. Luna Resident #1 (R1) was at the facility for about one week and in that time law enforcement was contacted three different times. R1 would call the police and request that they be taken home to their apartment. Due to R1 being determined that they were unable to live alone as they required care and supervision 24/7, R1 was not taken back to their apartment. On 7/5/23, The department received a unsual/injury report stating that R1 was transported to get a haircut and shortly after arriving at the local barbershop they began to yell help and state that they were being held hostage. After getting their hair cut R1 was

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

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-20230705165403

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ANGELIC HANDS ASSISTED LIVING	FACILITY NUMBER: 336426747
	VISIT DATE: 07/10/2023

NARRATIVE

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transported safely back to the facility without incident. Per Ms. Luna, at 10am, the next day 7/6/23 R1 had called Yellow cab to pick them up and take them home to their apartment. It was at this time that Ms. Luna contacted the local police department and Adult Protective Services (APS) to file a report.

Ms. Luna stated that R1's last known whereabouts were at their apartment as they had received a phone call stating that R1 had fallen and was laying on the and that the fire department had to break the door down, but they were not sent out for a medical evaluation.

Based on interviews the allegation Staff are not allowing resident to leave the facility is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the department had there dismissed the complaint.

An exit interview was conducted and a copy of this report was provided to Synthia Luna, Licensee.

SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

LIC9099 (FAS) - (06/04)

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