197606145-3-9-2021-28-AS-MVAO-C2AS9R-20210421134111

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 03/09/2021
Date Signed: 03/09/2021 10:01:11 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/17/2021 and conducted by Evaluator Tony Vasallo

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20210217105304

FACILITY NAME:	ARCADIA GARDENS RETIREMENT HOTEL		FACILITY NUMBER:	197606145
ADMINISTRATOR:	PAT REDNER		FACILITY TYPE:	740
ADDRESS:	720 W. CAMINO REAL		TELEPHONE:	(626) 574-8571
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	200	CENSUS: 168	DATE:	03/09/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Pamela Parsons, administrator		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Unlawful eviction
Physical plant is in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vasallo initiated a subsequent complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s subsequent complaint investigation was conducted telephonically with Pamela Parsons, administrator. The initial complaint tele-visit was conducted on 2/19/21.

The investigation consisted of the following: On 2/19/21, telephone interviews were conducted with administrator, Staff #1 (S1) and Staff #2 (S2). The facility was also virtually toured including Resident #1's (R1) room. On 2/25/21, R1’s family was interviewed. On 3/3/21, additional interviews were conducted with residents.

The investigation consisted of the following: Allegation: Unlawful eviction. It’s alleged facility is evicting R1 or not taking R1 back from the Skilled Nursing Facility (SNF). R1 was interviewed and indicated he/she has not received an eviction notice. Continued on 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Tony Vasallo	TELEPHONE: (323) 981-3977
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021

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 28-AS-20210217105304

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: ARCADIA GARDENS RETIREMENT HOTEL	FACILITY NUMBER: 197606145
	VISIT DATE: 03/09/2021

NARRATIVE

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Administrator was interviewed and indicated R1 is not being evicted and was not served an eviction notice. Administrator stated R1 can return to the facility as long as the SNF provides a detailed discharge plan which administrator claims she has not received. LPA contacted the discharge planner at the SNF. The discharge planner indicated R1 was not ready for discharge, but will be soon. Based on the information obtained this allegation is unsubstantiated.

Allegation: Physical plant is in disrepair. It's alleged R1's room is in disrepair and things such as the toilet, hot water and A/C do not work properly. Staff interviewed deny the allegation. Staff interviewed included administrator, maintenance and housekeeping. Residents interviewed also deny the allegation and indicated there has been no issues with the physical plant. LPA virtually toured R1's room and did not see any issues. The toilet is working properly. The hot water was 110 degrees which is within the required range of 105 - 120 degrees. The A/C was working properly. Therefore, this allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

A telephonic exit interview was conducted with Pamela Parsons, and a hard copy was provided via email for signature.

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Tony Vasallo	TELEPHONE: (323) 981-3977
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021

LIC9099 (FAS) - (06/04)

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