197606145-5-20-2022-28-AS-FFIS-CETNCA-20220527102023

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 05/20/2022
Date Signed: 05/20/2022 11:10:55 AM

Unsubstantiated

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
05/13/2022 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20220513102000

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: 174	DATE:	05/20/2022
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Pamela Parsons, Administrator		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility is not allowing visitors for a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Tao, Calderon and Maldonado conducted an unannounced initial complaint investigation for the allegation listed above. During today’s visit, LPAs met Administrator, Pamela Parsons and explained the purpose of today's visit.

The investigation consisted of the following: interviews with staff from Staff #1 through Staff #5; interviews with residents from Resident #1 through Resident #6, reviews of resident #1’s facility records and conducts a tour of the physical plant. LPA obtained copies of the Staff and Resident Rosters; and Resident #1 file for review of relevant information.

In regard to allegation "Facility is not allowing visitors for a resident", it was alleged that facility staff did not allow visitor #1(V1) to visit resident #1(R1). Six (6) out of six (6) residents could not corroborate the allegation. Resident interviews revealed that resident#1 did not want visitor #1 visiting.
(-Continued in LIC 9099 C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022

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-20220513102000

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: 05/20/2022

NARRATIVE

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All six (6) residents stated they have staff allow visitors who come for visits. Five (5) out of five (5) staff denied the allegation. Facility did not have a court ordered restraining order in place to deny V1’s visits. LPA's review of R1s letter dated 05/12/22, indicates R1 did not wish V1 to visit R1 at the facility. Therefore, the investigation revealed that R1’s personal right to have visitors was not violated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Administrator and a hard copy was provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022

LIC9099 (FAS) - (06/04)

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