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Inspection visit

complaint

STONEWALL GARDENS ASSISTED LIVINGLicense 3364265051 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

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. 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.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(c)Type B

    Reporting Requirements, (c)Any suspected physical abuse that does not result in serious bodily injury...the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours...This requrement was not met as evidenced by: CCLD did not receive any incident reports regarding the physical abuse incident occurred on 08/26/2025. This posed a potential health and safety risk to residents in care.

  • 87355(e)(3)Type A

    Criminal Record Clearance, (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working..., (3) Request a transfer of a criminal record clearance This requirement was not met as evidenced by:Based on records review, S1 did not have criminal record clearance prior to working at the facility. This posed an immediate health and safety risk to residents in care.

  • 87468.2(a)(8)Type A

    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. 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.

FAQ · About this visit

Common questions about this visit

What happened during the March 12, 2026 inspection of STONEWALL GARDENS ASSISTED LIVING?

This was a complaint inspection of STONEWALL GARDENS ASSISTED LIVING on March 12, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to STONEWALL GARDENS ASSISTED LIVING on March 12, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Reporting Requirements, (c)Any suspected physical abuse that does not result in serious bodily injury...the correspondin..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.