Desert Cottage Ii

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Elizabeth Hengstler, Licensee, and informed them of the purpose of the LPA’s visit. The Department investigation involved interviews with staff and records review. On 12-06-2023, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff physically abused resident in care. Information received indicated Resident #1 (R1) was physically abused by Staff #1 (S1). According to a relevant party, R1 was observed with bruises on the right side of their body, head, and face. R1 was also observed with cuts on their forehead. Relevant party informed the Licensee regarding the alleged physical abuse by S1, but the Licensee denied knowledge of any type of physical abuse going on at the time. Continued on LIC9099-C.... UnsubstantiatedRead the full finding— CDSS inspection report, September 30, 2025 · control 18-AS-20231206152231

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Elizabeth Hengstler, Licensee, and informed them of purpose of the LPA's visit. The Department investigation involved interviews with staff and records review. On 12-10-2024, Community Care Licensing (The Department) received a complaint report with the following allegations. It was alleged that facility staff did not meet resident’s incontinence care needs. According to the information received, Resident #1 (R1) did not receive incontinence care from staff for 3 days in December 2024. LPA conducted interviews with four (4) staff members, three (3) of whom stated staff have provided incontinence care to residents every two (2) hours or as necessary. Continued on LIC9099-C.... UnsubstantiatedRead the full finding— CDSS inspection report, September 30, 2025 · control 18-AS-20241210103507

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Elizabeth Hengstler, Licensee, and informed them of the purpose of the LPA's visit. The Department investigation involved interviews with staff, residents, and relevant parties and reviews of records. On 04-08-2024, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff are placing restraint vests on residents in care. Information received indicated that staff place weighted vests on residents when they go to sleep, so that the residents cannot get out of bed. LPA conducted interviews with Relevant Party #1 (RP1), Relevant Party #2 (RP2), and Relevant Party #3 (RP3), all of whom confirmed the weighted vests being placed on residents in care. Continued on LIC9099-C.... SubstantiatedRead the full finding— CDSS inspection report, September 30, 2025 · control 18-AS-20240408110606

On 11/26/2024 Licensing Program Analyst (LPA) Eldin Serrano conducted an unannounced visit to the facility to deliver complaint investigation findings for the above allegation. After introducing and identifying self, LPA met the Administrator Destiny Villalta to discuss the findings. On February 19, 2020, the Department received a complaint with allegation of personal rights violation resulting in R1 sustaining unexplained injuries. The Department investigation consisted of review of facility and other records, observations, and interviews with pertinent individuals. Investigation revealed that on or around February 10, 2020, R1 was observed with injuries including hematoma (as described by observer) on right arm of R1, and bruise on left arm of R1. In addition, R1 was observed with a swollen lip. SubstantiatedRead the full finding— CDSS inspection report, November 26, 2024 · control 18-AS-20200219153407

Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to commence a complaint investigation regarding the allegations listed above. LPA met with Administrator, Destiny Villalta, and explained the purpose of the visit and the elements of the allegations. LPA Banrasavong conducted the investigation which consisted of observation, interviews with staff members and residents, and record review. LPA Banrasavong was unable to conduct interviews with additional witnesses who were employed with the hospice company. On 09/18/2023, Community Care Licensing received a complaint alleging that facility staff did not provide adequate supervision resulting in resident sustaining multiple falls and injuries and staff overmedicated resident. In regards to the allegation that staff did not provide adequate supervision resulting in resident sustaining multiple falls and injuries, it was reported that the resident had several bruises and skin tears. During the invRead the full finding— CDSS inspection report, November 29, 2023 · control 18-AS-20230918115254

Licensing Program Analyst (LPA) Javina George made unannounced visit to the facility to commence an investigation in regards to the allegation noted above. LPA met with Destiny Villalta, Adminstrator and explained the purpose of the visit. The licensee was available via telephone. The allegation of faciity is not maintaining a comfortable temperture was investigated. The investigation consisted of observation, interviews and record review. Regarding the facility is not maintaining a comfortable temperature. It was reported that the thermostat is set between 84-85 degrees, when it is over 100 degrees outside. During today's visit LPA conducted a tour of the facillity and observed for both thermostats to be set at 83 degrees. At the time of LPAs visit it was 106 degrees outside. LPA observed for there was one tall standing fan facing the residents sitting inside the living room, the celing fan as well as the air conditiner to be on. Per interviews conducted it was reported that the facilRead the full finding— CDSS inspection report, July 17, 2023 · control 18-AS-20230712111210

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(s) listed above. LPAs met with Licensee Elizabeth Henglsler , where LPAs explained the purpose of the visit and the elements of the allegation(s). The allegation(s) were investigated, the investigation consisted of observation, interviews and record review. Regarding the licensee not allowing visitors outside of visiting hours. The facility has a current visitation policy which states that visiting hours for family and friends are anytime between 10am-6pm, and that visitation during the specific meal times requires prior approval. Per the licensee Ms. Hengslter visits during meal times have been disruptive to other residents in the past, resulting in a resident not eating their meal. Prior approval would allow for the facility to make arrangements and have a visit moved to an alternate location ttahe facility soRead the full finding— CDSS inspection report, July 10, 2023 · control 18-AS-20230705155450

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to deliver the finding on the above allegation. LPA met with caregiver Destiny Villalta and explained the purpose of the visit. LPA Nickolas' discussed this report with the Licensee over the phone and the Licensee gave permission for Villalta to sign this report on their behalf. Department staff investigated this allegation. The allegation alleged that the facility is dispersing discontinued medication to resident #1(R1). The allegation alleged that on March 24, 2021, R1’s supplements were discontinued, and the Licensee and their staff continued to give R1 these supplements. The allegation also alleged inaccurate record keeping on the Medication Administration Record (MAR). Department staff file review revealed that R1’s updated medication orders do not discontinue the supplements. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. A finding of UnsubstantiateRead the full finding— CDSS inspection report, June 15, 2023 · control 18-AS-20210408145659

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to deliver the finding on the above allegations. LPA met with Licensee/Administrator Elizabeth Henstler and explained the purpose of the visit. This allegation was investigated by department staff. Allegation # 1 “Staff is administering medication to resident without a prescription”. The allegation alleged that the facility’s staff members administered over-the-counter medication to resident #1 (R1) without a prescription. Department staff interview staff # 1 (S1) revealed that S1 denied administering medication to R1 without a physician’s order. S1 stated that they had not observed another member of the facility’s staff administering medication to R1 without a physician’s order. S1 also stated that the Licensee/Administrator has never directed them to administer medication to R1 without a physician’s order. Department interview with staff # 2 (S2) revealed that they denied administering medication to R1Read the full finding— CDSS inspection report, April 25, 2023 · control 18-AS-20210114142518