Atria Palm Desert

Type of visit: Required - 1 Year

On 02/05/26 Licensing Program Analyst (LPA) Toni Nwala and Seo Jeon arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Executive Director Cheree Escandel who was informed of the purpose of the visit. During the annual visit, LPA was informed that 67 clients live at this facility. There are 38 staff members that work at the facility. The Executive Director, Cheree Escandel conducted and completed the facility tour. LPA toured the facility inside and outside. LPA observed the facility to be clean and furniture in the facility was in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. The facility has two (2) Laundry rooms. There is a locked cabinet for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There is a secured and gated pool at the facility. LPA observed emergency supplies and first aid with the required components. LPA reviewed six (6) resident files. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, and personal rights notification. Continued on LIC809-C..... LPA reviewed six (6) staff files. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. LPA toured the facility restaurant and kitchen. LPA observed that Food prep areas were clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. Facility conducts the Emergency Fire Drill on a monthly basis; last Emergency drill was conducted on 1/29/2026. The Annual Fire Safety inspection was conducted on 04/08/2025. During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.the state’s words, verbatim · CDSS document, Feb 5, 2026

Allegation investigated: Staff allow a resident to drive unlawfully

Licensing Program Analyst (LPA), Abdoulaye Zerbo, conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. LPA met with Executive Director Cheree Escandel, and informed them of the purpose of the visit. It was alleged Staff allow a resident to drive unlawfully. LPA conducted interviews with facility staff, reviewed documentation, and made observation. Staff reported that they were informed by a family member that Resident 1 (R1) had a revoked driver’s license. Upon learning this, staff advised R1 not to drive. However, staff stated they were unable to prevent R1 from doing so, as doing so would violate the resident’s personal rights. Additional records review confirmed R1 is not under conservatorship and retains the right to make personal decisions, including transportation. Based on records review, and interviews, the above allegation is Unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to Executive Director Cheree Escandel Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 30, 2025 · control 18-AS-20250926141834

Allegation investigated: Wrongful 30-day eviction

On 4/17/2025 at 9:45 AM, Licensing Program Analysts (LPA) Eldin Serrano conducted an unannounced visit to deliver the findings on the mentioned allegation. LPA met with Executive Director Cheree Escandel and discussed the purpose of the visit. The investigation consisted of file review and interviews with relevant parties. The allegation indicates that Resident #1 (R1) is being wrongfully evicted from the facility. The Department was notified on 7/3/2023 that R1 was served a 30-day notice on June 28, 2023. The Department staff reviewed the eviction notice and observed that the licensee followed the eviction procedures per Title 22 regulations. LPA observed that the facility notified R1 and their responsible party of the eviction notice. The eviction notice had the required elements which includes the effective date of the eviction and resources to find alternative housing and care. Department staff also observed that the facility notified CCLD and sent a written copy of the eviction notice within five (5) days. Unfounded This agency has investigated the complaint allegation and found that the complaint was unfounded meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to Executive Director Cheree Escandel.the state’s words, verbatim · CDSS document, Apr 17, 2025 · control 18-AS-20230707075212

Allegation investigated: Staff did not seek medical attention for resident Resident's care needs fee was unlawfully increased Staff did not assist resident with medication

On 4/17/2025 at 9:45 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano explained the purpose of the visit to the Executive Director Cheree Escandel. The investigation consisted of file review, interviews with related party as well as observation. Allegation #1 Staff did not seek medical attention for resident– Based on record review and special incident report (SIR) submitted by the facility, every incident was reported, and resident #1 (R1) was assisted regarding medical needs. Proof of physicians' medical visits on file. Allegation #2 Resident's care needs fee was unlawfully increased - Based on R1's admission agreement and correspondents/letters/notices were provided to R1 by the facility, it showed that the increased in fee was communicated to R1 . *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Staff did not assist resident with medication – Based on record review of the physician’s report, the report stated that R1 can be able to administer R1’s own prescription and nonprescription medication. Facility resident functional needs service plan indicated that the resident medication management med level is 0 meaning R1 administer R1's own medication. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 allegations are unsubstantiated at this time. An exit interview was conducted where this report, LIC9099, LIC9099C were discussed and provided to Executive Director Cheree Escandel.the state’s words, verbatim · CDSS document, Apr 17, 2025 · control 18-AS-20210318111153

Type of visit: Required - 1 Year

On 02/24/25 Licensing Program Analyst (LPA) Debbie Palacios arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Executive Director Cheree Escandel who was informed of the purpose of the visit. During the annual visit, LPA was informed that sixty seven (67) clients live at this facility. There are thirty-eight (38) staff members that work at the facility. The Executive Director, Cheree Escandel conducted and completed the facility tour. LPA toured the facility inside and outside. LPA observed the facility to be clean and furniture in the facility was in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. The facility has two (2) Laundry rooms. There is a locked cabinet for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There is a secured and gated pool at the facility. LPA observed emergency supplies and first aid with the required components. LPA reviewed six (6) resident files. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, and personal rights notification. LPA reviewed six (6) staff files. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. The Executive Director, Cheree Escandel certificate is renewed dated on 01/16/2026. LPA toured the facility restaurant and kitchen. LPA observed that Food prep areas were clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. Facility conducts the Emergency Fire Drill on a monthly basis; last Emergency drill was conducted on 02/10/25. The Annual Exit/Emergency Lightning Service Maintenance was conducted on 01/14/25. During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.the state’s words, verbatim · CDSS document, Feb 24, 2025

Allegation investigated: Staff are financially abusing resident. Staff do not safeguard resident's perosonal belongings.

Licensing Program Analyst (LPA) Debbie Palacios conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above. LPA met with Executive Director (ED) Cheree Escandel and was informed of the purpose of the visit. LPA was informed by Executive Director (ED) Cheree Escandel that (R1) does not reside at the facility; (R1) is residing at Atria Hacienda. LPA reviewed the Resident roster and (R1) was not listed as a resident. LPA conducted interviews with four (4) residents. This agency has investigated the complaint alleging the above allegations. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Dec 3, 2024 · control 18-AS-20241126111328

Allegation investigated: Staff caused injuries to a resident while in care

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Cheree Escandel, Administrator and explained the purpose of the visit. On May 8, 2023, Community Care Licensing received a complaint alleging staff caused injuries to a resident while in care. LPA conducted interviews with Administrator, staff, and additional witnesses. LPA also conducted a review of pertinent documentation. LPA was unable to interview Resident #1 (R1) in order to obtain pertinent information due to R1 passing away on September 21, 2022. Regarding the allegation staff caused injuries to a resident while in care, it was reported that on May 17, 2022, R1 fell off his motorized scooter while getting off the Atria community bus. It was reported that the ramp was not placed properly when R1 exited the bus, causing R1 to crash into the curb. Information (Continued on Page 2) Unsubstantiated (Continued from Page 1) obtained from Administrator indicated that the ramp on the bus was placed securely on the ground and R1 exited the bus without incident, Administrator indicated that R1 did fall off his motorized, but away from the facility. Administrator stated R1 was leaving the facility and fell off his motorized scooter and the corner of the facility. Information obtained from staff interviews revealed that R1 had arrived back from an appointment transported by facility staff in the facility bus. R1 was assisted off the transportation bus safely by staff member. R1 was observed on their personal scooter traveling away from the facility when R1 fell off their scooter and hit their head. Staff indicated they contacted emergency personnel and remained with R1 until medical services arrived. It was advised that facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Records were reviewed and revealed R1 was independent and was able to leave the facility unsupervised. Medical records pertaining to the incident revealed R1 sustained a head laceration and first- and second-degree burns and Emergency personnel reported R1 was found on the street corner of Catalina Way and San Pascual Ave and not on the facility property. Based on staff interviews, emergency personnel reports, facility records, the allegation that staff caused injuries to a resident while in care is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.the state’s words, verbatim · CDSS document, Oct 29, 2024 · control 18-AS-20230508091711

Allegation investigated: Staff neglect resulted in a resident sustaining multiple pressure injuries

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Cheree Escandel, Administrator and explained the purpose of the visit. On May 8, 2023, Community Care Licensing received a complaint alleging staff neglect resulted in a resident’s sustaining multiple pressure injuries while in care. LPA conducted interviews with Administrator, staff, and additional witnesses. LPA also conducted a review of pertinent documentation. LPA was unable to interview Resident #1 (R1) in order to obtain pertinent information due to R1 passing away on September 21, 2022. Regarding the allegation staff neglect resulted in a resident sustaining multiple pressure injuries, it was reported that on September 2, 2022, Resident #1 (R1) suffered a fall, but the facility did not transport R1 to the hospital for evaluation. It was reported that due to the fall, R1 developed two pressure injuries. (Continued on Page 2) Unfounded (Continued from Page 1) Information obtained from Administrator stated that R1 did not develop pressure injuries from the fall on September 2, 2022. Administrator further indicated that R1 did not sustain any pressure injuries while placed at the facility. Information obtained from additional staff interviews corroborated that R1 did not sustain pressure injuries at any time while placed at the facility. Information obtained from resident records did not report that R1 sustained pressure injuries from falls. Medical records pertaining to the fall, revealed R1 sustained a head laceration and first- and second-degree burns. No information indicated that a pressure injury was sustained. Based on staff interviews, emergency personnel reports, facility records, the allegation staff neglect resulted in a resident sustaining multiple pressure injuries, we have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted, and a copy of this report was provided along with LIC811- Confidential Names list.the state’s words, verbatim · CDSS document, Oct 29, 2024 · control 18-AS-20230508091711

Allegation investigated: Staff did not provide resident records to resident and/or resident's legal representative

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegation listed above. LPA met with Cheree Escandel, Administrator and explained the purpose of the visit. On January 27, 2023, Community Care Licensing received a complaint alleging that staff did not provide resident records to resident and /or resident’s legal representative. LPA conducted interviews with Administrator, staff, and additional witnesses. LPA also conducted a review of pertinent documentation. LPA was unable to interview Resident #1 (R1) in order to obtain pertinent information due to R1 passing away on September 21, 2022. It was alleged that resident’s legal representative sent a request for resident records to the facility on January 17, 2023. It was reported that records were not sent to the resident’s representative until February 3, 2023. Information obtained from Administrator indicate that request for records were sent on February 2, 2023. (Continued on Page 2) Substantiated (Continued from Page 2) LPA observed documentation that corroborated the documents were sent on February 3, 2023. Title 22 regulations state that (a) In addition to the rights listed in Section 87468.1 Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. Therefore, based on observations and interviews, the allegation that Staff did not provide resident records to resident and/or resident’s legal representative is SUBSTANTIATED. The facility will be cited for Title 22, Division 6, Chapter 8, Article 08, Section 87468.2 (a)(2). An exit interview was conducted where this report, 9099-D, and appeal rights were discussed. Copies of the documents were provided to Administrator.the state’s words, verbatim · CDSS document, Oct 29, 2024 · control 18-AS-20230127151107

From the deficiency page — Deficiency type: Type B · Section cited: CCR 97868.2(a)(2) · Plan of correction due date: Nov 12, 2024

Additional Personal Rights in Privately Operated Facilities...(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not being met as evidenced by: LPA review records request for records was sent on 1/17/2023 to the facility and facility sent records on 2/3/2023 to the legal representative. This poses a potential health and safety risk.the state’s words, verbatim · CDSS document, Oct 29, 2024

Plan of correction: Licensee will abide by Title 22 and deliver douments within the appropriate deadline given.

Allegation investigated: Staff are denying authorized representative access to the facility Staff are overcharging a resident for services not received Staff did not prevent the residents from wandering Staff did not keep the facility free from scabies Staff unlawfully evicted the residents

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Executive Director, Cheree Escandel, who was informed of the purpose of the visit. The above allegations alleged violations pertaining to Residents #1 and #2 (R1) and (R2). LPA conducted interview with staff who indicated R1 and R2 never residing at the facility. LPA conducted records review of resident roster and LPA found R1 and R2 do not reside at the facility. LPA conducted interviews with outside sources who confirmed R1 and R2 did not reside at the facility. This agency has investigated the complaint with above allegations and found that the complaint was unfounded. The allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted, and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Jul 2, 2024 · control 18-AS-20240624091044

Allegation investigated: Staff did not provide adequate supervision to a resident Staff did not seek timely medical attention for a resident

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conclude an investigation into the allegations listed above. LPA met with Cheree Escandel and explained the purpose of the visit. During the course of the investigation, regarding the allegation “Staff did not provide adequate supervision to a resident”. Records were reviewed, and interviews were conducted with current facility staff members, and current RCFE clients. The Facility records revealed Resident #1 (R1) was independent and was able to leave the facility unsupervised. The facility staff interviews confirmed R1 fell off R1’s scooter and hit his head as he traveled on the sidewalk outside the facility. Unsubstantiated (continued from page 2) Staff indicated they remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. The medical records pertaining to the incident revealed R1 sustained a head laceration requiring staples, and first- and second-degree burns. Regarding the allegation “Staff did not seek timely medical attention for a resident”. Records were reviewed, and interviews were conducted with current facility staff members, and current RCFE clients. The facility staff interviews confirmed records revealed Resident #1 (R1) was independent and was able to leave the facility unsupervised. The facility staff interviews confirmed R1 fell off R1’s scooter and hit his head as he traveled on the sidewalk outside the facility. Staff indicated they contacted 911, remained with R1, contacted 911, placed towels and pillows under R1, and stood around R1 to shield R1 from the sun. Additionally, staff confirmed the facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Medical records confirmed R1 sustained a head laceration requiring staples, and first- and second-degree burns. The EMS records narrative indicated R1 was on the pavement for approximately 20 minutes. However, this information could not be validated as there was no indication on the 911 radio call of how much time had lapsed before 911 was contacted by the facility. Therefore, the allegations of neglect/lack of supervision is Unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.the state’s words, verbatim · CDSS document, Mar 29, 2024 · control 18-AS-20230508091711

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that seventy-five (75) clients live at this facility. There are thirty-five (35) staff member that work at the facility. The Administrator, Cheree Escandel conducted and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Five (5) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. The Administrator, Cheree Escandel submitted her renewal on 01/24/2024. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 105.0 degrees F. Laundry is done in the designated laundry rooms. There is a locked cabinet for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There is a secured and gated pool at the facility. LPA observed emergency supplies and first aid with the required components. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed if they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed smoke detectors and carbon monoxide detectors. There is 24-hour ADT Commercial monitoring throughout the facility, last inspection was done on 11/16/2023. The last quality sprinkle inspection was done on 05/04/2023. The carbon monoxide was tested and operable. There was twelve (13) fire extinguishers on site. Pursuant to the Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to the Administrator, Cheree Escandel.the state’s words, verbatim · CDSS document, Feb 8, 2024

Allegation investigated: Resident is not allowed visitors while in care Resident is not allowed to leave the facility while in care Staff does not ensure residents are properly fed while in care Staff threatens a resident with eviction while in care

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegations noted above. LPA met with Executive Director, Cheree Escandel and explained the purpose of the visit and the elements of the allegation(s). The allegation(s) were investigated and consisted of observations, interviews and records review. Allegation: Resident is not allowed visitors while in care It was alleged that on or around 1/4/21 that the facility was not allowing visitors to any residents. At the time that the complaint was received there was a state of emergency due to Covid-19, and per an interview conducted with Executive (ED) Cheree Escandel on 1/13/21, all non-essential visitors are prohibited from entering the building due to covid precautions. Per PIN 20-23-ASC dated 06/26/20, regarding visitation states “visitation for all non-essential visitors should be limited until the following conditions are met: there are no new transmissions of COVID-19 at the facility for 14 days, facility is not experiencing any staff shortages Unsubstantiated licensee has adequate supplies of PPE and essential cleaning supplies to care for persons in care, and licensee has adequate access to COVID-19 testing, and require visitors to wear face coverings. The pin further states that if all conditions are met, indoor visitation at the facility is permitted”.Upon records review the facility did have positive COVID-19 cases and were all clear as of 12/25/20, however were still waiting for two consecutive negative tests. A facility welfare check (check on the facility after having positive COVID-19 cases) was conducted by the department on 2/23/21, and Executive Director Cheree reported that all restrictions had been lifted within the community, as there were no positive cases and testing was completed with negative results as of 2/8/21. Interviews conducted with residents revealed that the only time visits were put on hold is when there was a sickness such as COVID in the building. Based on observations, interviews and records review the allegation is UNSUBSTANTIATED. Resident is not allowed to leave the facility while in care Allegation: Resident is not allowed to leave the facility while in care. Per an interview conducted with Cheree, ED during the initial complaint visit residents are allowed to leave the facility and upon their return, they are screened for COVID symptoms, their temperature is taken, they are asked to sanitize and sign back in. LPA conducted interviews with residents and stated that the only time they did not leave the facility was if there was a sickness going around such as COVID. Residents further stated that they were able to come and go as they had their private patios. Residents stated that if they left that had a mask that was provided and worn. Residents understood the reason for anything that was put into place. Based on interviews the allegation is UNSUBSTANTIATED. Allegation: Staff does not ensure residents are properly fed while in care Cheree was not aware of any complaints with the food. Cheree stated that so much has changed since the complaint has come in and that the facility has a new Director of Culinary. LPA conducted a walk thru of the facility's kitchen which was observed to be clean and clutter free. The facility food supply was observed to meet the expectation of having a 2-day supply of perishable and a 7-day supply of nonperishable food items. The fresh fruits and vegetables were observed to not have any signs of being rotten. The facility serves 3 meals (Breakfast, lunch and dinner). Per the observed menus, Breakfast options are to have a light option (cold cereal, pastries) or hearty option (eggs, waffle or breakfast burrito), Lunch lighter fare (soup, salad) or from the grill (cheeseburger, hot dogs, chicken tenders etc.) For dinner two (2) entrée options examples include soup and chicken or soup and Pork Marsala. In addition, LPA observed in the and Bistro walk up area grab and go refrigerators that contained assorted beverages, Jell-o. Per interviews conducted with residents revealed that residents are fed all three (3) meals and snacks are available. In addition residents provided that there are specified hours that residents can go and get whatever they please from 7am-7pm. The facility does have all day dining. Based on observations, interviews and records review the allegation is UNSUBSTANTIATED. Allegation: Staff threatens a resident with eviction while in care LPA conducted an interview with ED Cheree Escandel whom stated that she could not recall Resident #1 (R1) being issued an eviction notice or being threatened with eviction. LPA conducted a review of R1s file and there was an eviction notice issued on 09/19/19 by the previous facility Administrator. The notice was issued due to R1 having failed to follow the house rules such as the smoking policy, guest accommodations, guest meals, and guest visitor log. R1s room had the smell of marijuana coming from their room on multiple occasions, the guest(s) were believed to be living at the facility, R1 was also ordering food for two people, when the guest meals are available for a fee. Lastly R1 would have visitors that were not signing in and out. The eviction notice was rescinded on an unknown date. LPA conducted interviews with residents which revealed that they had not been threatened with eviction since living at the facility. Based on insufficient evidence the allegation of staff threatens a resident with eviction while in care in UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was conducted and a copy of this report was provided to Cheree Escandel, Executive Director.the state’s words, verbatim · CDSS document, Jan 4, 2024 · control 18-AS-20210104134427