197606145-11-21-2022-28-AS-FFIS-CND3YN-20230123174014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 11/21/2022
Date Signed: 11/21/2022 05:05:39 PM

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
11/17/2022 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20221117084448

FACILITY NAME:	ARCADIA GARDENS RETIREMENT HOTEL		FACILITY NUMBER:	197606145
ADMINISTRATOR:	PAMELA PARSONS		FACILITY TYPE:	740
ADDRESS:	720 W. CAMINO REAL		TELEPHONE:	(626) 574-8571
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	200	CENSUS: 171	DATE:	11/21/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Pamela Parsons, Administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Resident wasn’t provided transportation to doctor’s appointment.
Facility was not safeguarding resident(s) belongings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met Administrator, Pamela Parsons. LPA explained the purpose of today’s visit is to discuss the above-mentioned allegations.

The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA Tao spoke with Administrator and obtained resident roster, staff roster, and Resident #1’s (R1)’s facility files.

The investigation revealed the following:
In regard to allegation “resident wasn’t provided transportation to doctor’s appointment," it was alleged that facility did not provide transportation to resident #1 (R1) for a medical appointment on June 2022.

(-continued in LIC 9099C-)

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: 11/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022

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-20221117084448

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: 11/21/2022

NARRATIVE

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Eight (8) out of eight (8) resident interviews revealed that facility would provide transportation to residents for doctor appointments. Six (6) out of six (6) staff denied the allegation. Staff interviews revealed that staff would arrange and provide transportation to residents when residents needs a ride to appointments. File review revealed that facility arranged transportation for resident#1 on June 2022; however, the appointment was rescheduled. Thus, the ride for that appointment was canceled. Therefore, investigation revealed facility would provide transportation to residents for doctor appointments.

In regard to allegation “facility was not safeguarding resident(s) belongings," it was alleged that resident#1’s clothing items were not returned to residents after washed or replaced after misplaced. Eight (8) out of eight (8) resident interviews revealed that facility returned clothing items to residents after washed and residents did not aware of any items misplaced. Six (6) out of six (6) staff denied the allegation. Staff interviews revealed that staff would return residents’ clothing items to residents. If clothing items were misplaced, staff would search for the items and return them to residents. File review revealed resident #1 has clothing items under resident’s possession, however, resident#1 did not aware of any item missing. Therefore, investigation did not reveal facility fail to safeguard residents belongings.

During the interview, all residents said that they did not feel their visitors or family members who came to visit them at the facility was being discriminated. They said staff and administrator were nice to residents’ visitors.

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, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Administrator, Pamela Parsons. A hard copy of the reports was provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022

LIC9099 (FAS) - (06/04)

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