197606145-10-14-2021-28-AS-FFIS-C9R4EG-20211215180218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 07/28/2021
Date Signed: 10/14/2021 10:48:22 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
07/21/2021 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20210721121808

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:	07/28/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Pamela Parsons, Administrator Julie Chirikian, Licensee		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not assist resident with walking.

Staff did not protect resident's personal items

INVESTIGATION FINDINGS:

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***This report serves as an amendment and supersedes the original complaint investigation report created on 07/28/2021. The finding remains the same as in the prior licensing report -Unsubstantiated. ***

Licensing Program Analysts (LPA) Tao, conducted a follow up unannounced 10-day complaint visit to this facility. Upon arriving at the facility, LPA met with Pamela Parsons, Administrator, and Julie Chirikian, Licensee. LPA explained the purpose of today’s visit and discuss to them above mentioned allegations.

Regarding allegation: Staff did not assist resident with walking.
The Investigation consisted of LPA’s observations, interviews with residents#1 - #14, interviews with staff #1- #4 and review of Resident #1’s file.
On today's visit, LPA Tao interviewed Staff #1-#5 and Resident #1-#14. Resident interviews revealed that twelve (12) out of fourteen (14) residents reported that staff assist them with walking when they need assistance. Two (2) out of fourteen (14) residents were not able to answer or did not remember if staff assist them with walking. (- 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: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

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-20210721121808

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: 07/28/2021

NARRATIVE

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Staff interviews revealed that four (4) out of four (4) staff indicated that staff would assist resident with walking. LPA interviewed Resident #1 (R#1) and observed that R#1 was seated in a wheelchair. R#1 reported that staff would assist R#1 with walking when requesting staff to assist. Interviews with residents #2 - #4 and #6-#14 revealed that Staff assist resident with walking. During today’s visits, LPA Tao observed staff assisted residents with walking when residents requested assistance.

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.

Regarding allegation: Staff did not protect resident's personal items.

The Investigation consisted of LPA’s observations, interviews with residents#1 - #14, interviews with staff #1- #4 and review of Resident #1’s file.
LPA Tao interviewed Resident#1(R#1) who did not recall missing any personal items in the facility. Based on resident interviews, eight (8) out of fourteen (14) residents stated they did not have personal items missing in the facility and resident reported that staff did protect resident’s personal items. One (1) out of fourteen (14) residents were unable to answer LPA interview questions. Four (4) out of fourteen (14) residents stated they have personal items missing; however, staff would assist residents to find the missing items. Staff interview revealed, with resident's permission, staff would search their rooms when residents report missing items. Most of the time, items were misplaced instead of missing. Four (4) out of four (4) staff stated that staff did protect resident's personal items. Administrator would remind residents not leaving valuable items unattended. Per resident#1 file review of R#1’s personal belongings and interview with R#1’s responsible party, R#1 and R#1’s Responsible Party reported R#1 did not have any valuable items that were allegedly lost or missing due to staff not protecting R#1 personal items. LPA Tao toured resident rooms for residents #4-#10 and did not observe valuable items visible in their rooms. The investigation did not reveal any evidence to support the allegation that staff do not protect resident's personal items.

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 with Administrator. A hard copy of the report and appeal rights were provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

LIC9099 (FAS) - (06/04)

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