197606145-11-17-2021-28-AS-LHIS-C9HTEZ-20211208134043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 11/17/2021
Date Signed: 11/17/2021 05:43:08 PM

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
11/15/2021 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20211115140009

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: 140	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Pamela Parsons, Executive Director		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not respond to resident's call in a timely manner.
Staff do not safeguard resident's personal items.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Pogram Analyst (LPA) Cynthia Chan initiated the complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with Executive Director, Pamela Parsons, to explain the purpose of the visit.

The investigation consisted of the following:
LPA Chan obtained copies of the Staff, Resident rosters, and list of caregivers assigned unit. Interviews were conducted with the Executive Director, 6 Staff, and 14 Residents.

The investigation revealed the following:
Allegation – Staff did not respond to resident’s call in a timely manner. Executive Director Parsons stated that the facility has a call light system in place. When a resident pushes the button or pulls the string in the bathroom, the signal will be triggered in the records room by the front desk. The front desk will page caregivers through a walkie talkie for them to check on the resident. (Continue on the LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Cynthia D Chan	TELEPHONE: (323) 981-3370
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 28-AS-20211115140009

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: 11/17/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Staff interviewed stated they always try to respond to residents as soon as possible. The caregivers have assigned units and responsible for residents during their shifts. However, if they are assisting a resident and cannot tend to a call signal right away, they would request for assistance. Supervisors and caregivers stated if they are available, they would help one another. LPA interviewed 14 Residents which 12 out of 14 indicated that staff respond to their calls in a timely manner. Some also stated that the staff are helpful and assist with their needs. During today's visit, LPA tested the call system by pushing the call button in a resident's room. A caregiver was notified and responded to the call within 2 minutes

Allegation – Staff do not safeguard resident’s personal items. According to the Executive Director, an inventory of personal belongings are listed upon admission. Families and residents are encouraged to not bring in expensive items such as jewelry or large amount of cash to the facility. Executive Director stated the residents are often encouraged to lock their rooms when they leave and are reminded again during resident council meetings. Caregivers interviewed stated residents report missing items but they are typically found in a different area of their room. 3 out of 14 residents indicated some of their personal items have been missing and have not been retrieved.

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.

An exit interview was conducted. A copy of this report along with the appeal rights were provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Cynthia D Chan	TELEPHONE: (323) 981-3370
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2