197606145-4-16-2024-28-AS-DSIS-D54UJB-20240509153716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:13:00 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
04/10/2024 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240410122524

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: 154	DATE:	04/16/2024
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Pamela Parsons - Executive Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are prohibiting resident from having visits.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Executive Director Pamela Parsons and explained the reason for the visit.

The investigation consisted of the following:

LPA obtained copies of Resident and Staff rosters, Copies of documents within R1's file, interviews with 4 Staff and 9 Residents were conducted during todays visit.

(Continued on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Tena Herrera	TELEPHONE: 323-980-4633
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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-20240410122524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: ARCADIA GARDENS RETIREMENT HOTEL	FACILITY NUMBER: 197606145
	VISIT DATE: 04/16/2024

NARRATIVE

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The investigation revealed the following:
Allegation: Staff are prohibiting resident from having visits.
It is alleged that staff are prohibiting R1 from having visits with a friend who has previously been able to visit and is now restricted from doing so. LPA reviewed R1's file and observed a Resident's Visitor Restriction form in which R1 has on occasions signed that they do not wish to have visits with this friend. LPA interviewed 4 staff and 4 out of 4 staff deny the above allegation and stated that residents are allowed visitation and are given privacy during visits. Staff interviewed also stated that R1 is given the option when asked if they would like to visit and if R1 says yes R1 will then ask where their visitor is and asks for staff to take them to their visitor. Staff stated that they do not stay present while R1 is having a visit with their friend and allow them to visit with privacy. LPA interviewed R1 and R1 stated that they are able to have visits and mentioned that their friend visited them last week. Interview (via phone) with R1's friend, they stated that they visited R1 last week and have not been back since to visit, they stated they feel that staff will not allow visitation and when LPA asked if they have ever been denied a visit with R1 the friend stated that they have never been denied visitation with R1 by staff. LPA interviewed 8 additional residents and 8 out of 8 residents denied the above allegation and stated that they are able to have visits with friends/family and are given privacy during their visits.

Based on statements and interviews conducted with staff and residents, and review of R1 files, there was not enough supportive evidence to concur with the reported allegations.

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.

Exit interview held, and a copy of this report was provided to Pamela Parsons - Executive Director.

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Tena Herrera	TELEPHONE: 323-980-4633
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC9099 (FAS) - (06/04)

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