197606145-3-7-2024-28-AS-RORN-D3CLQ4-20240314085656

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 03/07/2024
Date Signed: 03/07/2024 06:24:21 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
03/07/2022 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20220307133048

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: 154	DATE:	03/07/2024
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Pamela Parsons, administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident sustained injuries while in care.
Staff are failing to meet resident’s needs
Staff leave resident in soiled clothing for extended periods of time.
Staff failed to safeguard resident’s personal belongings.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Tao conducted a subsequent visit today. The initial unannounced 10 day complaint visit was conducted on 03/10/22. Upon arriving at the facility, LPA met with Administrator, Pamela Parsons. LPA explained the purpose of today’s visit is to discuss the above-mentioned allegations.

The investigation consisted of resident interviews from resident#1 (R1) to resident#10 (R10), staff interviews from staff#1 (S1) to staff#4 (S4), attempted but failed to interview staff#5 (S5) and staff#6 (S6), 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 sustained injuries while in care, it was alleged that a resident fell off and injured in the facility.
(- 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: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023

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 3

Control Number 28-AS-20220307133048

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: 03/07/2024

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

Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that facility staff would provide timely care if residents fell whether residents were injured or not. Staff would notify residents’ responsible parties if residents fell. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents timely if residents fell while in care. Therefore, there was not preponderance evidence to show staff failed to provide care to residents and resident sustained injured.

In regard to allegation staff are failing to meet resident’s needs, it was alleged that staff did not provide care to resident on changing diapers and assisting with feeding. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that staff had provided the care they needed such as grooming, cleaning, changing diaper and assistance with feeding. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents per residents’ needs. Per record review, resident was scheduled to have a 2-hour check on reposition / diaper change and assisting with feeding. Therefore, staff provided care to meet resident’s needs.

In regard to allegation staff leave resident in soiled clothing for extended periods of time, it was alleged that staff left resident in wet soiled clothing for extended periods of time. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that they had never left in soiled, wet clothing. Staff changed their clothes timely if got soiled. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would change residents’ clothes as needed. Per observation, residents were observed to be clean, neat and with no foul odor. Therefore, resident was not left in soiled clothing for extended periods of time.

In regard to allegation staff failed to safeguard resident’s personal belongings, it was alleged that resident’s cell phone was missing in the facility. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that staff would help them to find their missing belongings and most of the time, their missing belonging were found in their rooms. Residents were not aware of any personal items being stolen. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents to search for the items and return them to residents. In most cases, resident’s items were misplaced in their room. File review revealed resident #1 did not have the said items under resident’s possession. Therefore, investigation did not reveal staff failed to safeguard resident’s belongings. (- continued in LIC 9099C-)

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20220307133048

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: 03/07/2024

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	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 allegation is 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: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3