Caleo Bay Alzheimer's Special Care Center

Type of visit: Required - 1 Year

On July 13, 2026, Licensing Program Analyst (LPA), Mia Lankford arrived at the facility unannounced to conduct the Required Annual Inspection and met with Executive Director, Maria Arriaga. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for 66 Adults and is currently operating at a capacity of 49 Adults. The facility has a dementia program and approval for locked perimeters with an alarm and signal system. The facility does not have any bodies of water. The facility is approved for 20 hospice residents; currently the facility has 14 residents receiving hospice services. LPA Lankford toured the facility along with Maria Arriaga and made observations pertaining to the annual visit. LPA inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. The facility is a Community type facility located at 47805 Caleo Bay Drive La Quinta, CA. 92253. Physical Plant: The facility phone number is (760) 771-6100 and it is operable. LPA Lankford observed a sampling of the residents’ living units, and each was equipped with required furniture as per Title 22 at the time of this annual inspection. LPA Lankford inspected a sample of the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers that expires 9/29/2026. LPA Lankford observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the PUB 475. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. Cont...809C Cont... Medications: Were locked and inaccessible to residents in care. There were a sufficient supply of medication for each resident. Overall facility is clean, furniture is in good condition, the Community Facility is free of odors. Facility's cooling system and other appliances were operable currently at the time of this visit. Licensee informed LPA there were night lights for safety throughout the facility, for night. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision/Administration: Adequate staff are present for the supervision of resident in care, and floor plans, telephone numbers and personal rights were found posted throughout the facility. Listed Administrator possesses a current administrator’s certificate with an expiration date of 11/07/2026, Maria Arriaga. LPA observed it is posted in the facility. Records Reviewed and Resident/Staff Files: LPA reviewed staff files and reviewed the staff schedule. Staff files reviewed have criminal clearance and updated training along with First Aid Certification. Resident files reviewed possessed requested documentation and current weight records. Disaster preparedness: LPA Lankford reviewed facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill was conducted on 7/5/2026, was facilitated by Licensee, and met regulations. Infection Control: LPA Lankford observed the hand washing stations in the facility restrooms, PPE equipment, and cleaning supplies. LPA reviewed the facility's infection control plan and found required infection control measures. There were no observable deficiencies noted or cited per Title 22, Division 6 of the California Code of Regulations at the time of this annual inspection. An exit interview was conducted where a copy of this report was discussed and given to Executive Director, Maria Arriaga.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: Required - 1 Year

On July 10, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Executive Director, Maria Arriaga. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for 66 Adults and is currently operating at a capacity of 46 Adults (740).The facility has a dementia program and approval for locked perimeters with an alarm and signal system. The facility does not have any bodies of water. The facility is approved for 20 hospice residents; currently the facility has 15 residents receiving hospice services. LPA Mixson toured the facility along with Maria Arriaga and made observations pertaining to the annual visit. LPA inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. The facility is a Community type facility located at 47805 Caleo Bay Drive La Quinta, CA. 92253. Physical Plant: The facility phone number is (760) 771-6100 and it is operable. LPA Mixson observed a sampling of the residents’ living units, and each was equipped with required furniture as per Title 22 at the time of this annual inspection. LPA Mixson inspected a sample of the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the PUB 475. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications: Were locked and inaccessible to residents in care. There were a sufficient supply of medication for each resident. Overall facility is clean, furniture is in good condition, the Community Facility is free of odors. Facility's cooling system and other appliances were operable currently at the time of this visit. Licensee informed LPA there were night lights for safety throughout the facility, for night. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision/Administration: Adequate staff are present for the supervision of resident in care, and floor plans, telephone numbers and personal rights were found posted throughout the facility. Listed Administrator possesses a current administrator’s certificate with an expiration date of 11/07/2026, Maria Arriaga. LPA observed it is posted in the facility. Records Reviewed and Resident/Staff Files: LPA reviewed staff files and reviewed the staff schedule. Staff files reviewed have criminal clearance and updated training along with First Aid Certification. Resident files reviewed possessed requested documentation and current weight records. Disaster preparedness: LPA Mixson reviewed facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill was conducted on 06/19/2025, was facilitated by Licensee, and met regulations. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms, PPE equipment, and cleaning supplies. LPA reviewed the facility's infection control plan and found required infection control measures. There were no observable deficiencies noted or cited per Title 22, Division 6 of the California Code of Regulations at the time of this annual inspection. An exit interview was conducted where a copy of this report was discussed and given to Executive Director, Maria Arriaga.the state’s words, verbatim · CDSS document, Jul 10, 2025

Allegation investigated: Staff did not provide adequate supervision resulting in resident wandering away from the facility

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA met with Executive Director, Maria Arriaga, who was informed of the purpose of the visit. The investigation consisted of LPA conducted interviews and conducted records review. It was alleged “Staff did not provide adequate supervision resulting in resident wandering away from the facility”. It was alleged on 08/06/2021 Resident #1 (R1) had wandered away from the facility and was found in the parking lot two (2) hours later. Substantiated Interview with R1 was attempted which revealed R1 was not a reliable historian. Interview with R1’s family member revealed they had been informed R1 had been seen by a medication chart that had an applesauce cup. It was reported staff redirected R1 from the cart. The family member could not recall what staff had relayed this information LPA conducted a walk through of the facility on 9/12/2023 and 9/29/2023 and did not observe unattended or unlocked medication. LPA conducted (3) staff interviews who revealed they did not recall R1 taking medications that were not their own. LPA conducted a review of the incident reports for R1, and found none reported for medication errors. Therefore, the allegation that R1 took another resident’s medications is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided. As of 07/19/2013 the facility is approved for delayed egress and locked perimeters. Interview with R1 was attempted which revealed R1 was not a reliable historian. Interviews with (3) staff members where conducted. (2) of (3) staff did not recall if R1 had ever left the facility. (1) of (3) staff interviews revealed R1 had wandering into the parking lot of the facility and had been found (15) minutes later. Staff revealed an incident report was submitted to the department. LPA reviewed the incident report dated 8/6/2021 revealed R1 was unable to be located in the facility which prompted a head count, rooms checks and check of monitoring alarms. It was documented R1 was not located in the facility, and was found in the parking lot when a check was conducted outside. No time period on R1’s absence was documented. Based on interviews conducted and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations Title 22 is being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 23, 2025 · control 18-AS-20220914185645

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(f)(6) · Plan of correction due date: Jan 30, 2025

(f) Licensees that lock exterior doors or perimeter fence gates…(6) Locked exterior doors or perimeter fences with locked gates shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents. This requirement was not met as evidenced by: Based on interviews and records review, R1 eloped from the facility locked perimeter. This poses a potential health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jan 23, 2025

Plan of correction: The administrator agreed to conduct an elopment drill with staff and send proof of the training by the POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the Administrator with LPA identification. At the time of the visit there was eighteen (18) staff and forty-four (44) residents present. The facility has a dementia program and approval for locked perimeters with an alarm and signal system. The facility does not have any bodies of water and no firearms on premises. The facility is approved for 20 hospice residents; currently the facility has 14 residents receiving hospice services. Resident record review began- Ten (10) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 109.0 degrees F. Laundry facilities and a locked area is present for storing laundry soap and other chemicals in a separate area. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. (Continued on page 2) (Continued from Page 1) Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. LPA began review of employee records- Ten (10) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application-2 missing, health screening-7 missing and TB test results-5 missing, criminal record statement-2 missing, employee rights-9 missing, training verification and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current. Information was provided regarding fingerprint clearances of employees and further review is needed at this time. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 09/25/2023. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 07/18/2024. LPA allocated time to prepare this report for delivery. Based on the information received during this visit today, two (2) deficiencies is being cited per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, LIC811 and Appeal Rights was reviewed with and a copy provided to the facility representative.the state’s words, verbatim · CDSS document, Jul 24, 2024

Allegation investigated: Staff physically abused resident while in care.

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation noted above. LPA met with Executive Director Maria Arriaga and explained the purpose of the visit. The allegation was investigated, and the investigation consisted of observations, interviews and records review. It was alleged that on or around 12/01/23, Staff #1 (S1) had grabbed Resident #1 (R1)s arm, and pulled out a chunk of R1's hair. R1 was observed to have marks on their right forearm that were red in color and estimated to have been 1-1.5 inches in size. LPA reviewed documentation (photos) of R1 that revealed that R1 did in fact had a chunk of hair measuring an estimated 1.5 inches wide of hair that fell out, when Exectuive Director Maria observed for R1s hair to be sticking up, and when Maria went to pat R1's hair down, the chuck of hair fell out. LPA observed for R1 to already have a bald spot in the middle of their head, and could not be confirmed if R1s hair had fallen out on its own due to natural hair loss or if it was pulled out. LPA conducted resident file reviews and reviewed narrative charting date 11/1/23, that an outside Unsubstantiated party made the request for S1 not take care of Resident #2 (R2), as they felt S1 was rough and upsets R2. On 11/30/23, Further documentation revealed that Resident #3 (R3) made the statement while being in the hallway and observing S1 and stating "hey that's the one had pulled my hair". Per Executive Director Maria a body check was conducted and there were no visible marks or bruises observed. In addition S1 denied the allegation, and handling any residents in a rough manner and pulling their hair. S1 stated that most residents require Per an interview conducted with R1, R1 could not identify S1 when shown a picture or recall the incident. R2 and R3 were unable to be qualified as a witnesses due to their medical diagnosis. On 12/01/23 the facility called and self reported the incident, and explained the actions that were taken as well as there was an active investigation pending and the staff was suspended and unable to return to work until the conclusion of the investigation, which will lead to termination of employment. Therefore based on observations, interviews and records review the allegation is 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 report was reviewed and provided to Maria Arriaga, Executive Director.the state’s words, verbatim · CDSS document, Dec 7, 2023 · control 18-AS-20231204124643

Allegation investigated: Facility staff did not assist resident with meals as needed.

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation noted above. LPA met with Maria Arriaga, Executive Director and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, the investigation consisted of observations, interviews and a review of records. It was alleged that facility staff did not assist resident with meals as needed. On or around 06/20/23, Resident #1 (R1) sustained an injury while at the facility. Per a review of the facility's progress notes, R1 would not eat at times due to reporting being and observed to be in pain or not feeling well. An additional assessment dated 06/26/23 conducted by facility staff notes R1 to need/receive standby assistance and monitoring due to resistance eating or swallowing difficulties. Prior to the injury, R1 would normally eat their meals in the back dining room, which has increased supervision and staff provided cuing. After the sustained injury R1 is noted to refuse to get up for meals, the facility staff would then bring a food tray to R1s room. Per the Executive Director no reports had been received that staff did not provide any residents with Unsubstantiated with feeding as indicated or needed. Per interviews with multiple facility staff revealed corroborated what was documented in R1s progress notes. Which was R1 would eat some days, and would not eat others, but the attempts were made. There is insufficient evidence to corroborate or refute the allegation of facility staff did not assist resident with meals as needed, therefore the allegation is UNSUBSTANTIATED at this time. A finding of UNSUBSTANTIATED means that 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. An exit interview was conducted, a copy of this report was reviewed and provided along with the 9099C, and appeal rights were given to Executive Director Maria Arriaga.the state’s words, verbatim · CDSS document, Oct 19, 2023 · control 18-AS-20231012144558

Allegation investigated: Staff did not safeguard resident's personal items

On 9/29/2023, Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to conduct further investigation into the above allegations. LPA met with Executive Director, Maria Arriaga, who was informed of the purpose of the visit. Regarding “Staff did not safeguard resident's personal items”, it was alleged that the R1’s clothing was misplaced. LPA reviewed R1’s personal property form which stated “declined to file”. According to the admission agreement signed by R1, the facility waives responsibility if the resident uses the laundry equipment at the facility. According to staff and responsible party interviews, the resident was utilizing the facility laundry equipment at this time. Therefore, the allegation is unsubstantiated. An exit interview was conducted with Executive Director, Maria Arriaga where this report was reviewed and provided to them. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 29, 2023 · control 18-AS-20220914185645

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.