197606145-3-22-2024-28-AS-FFIS-D5CMLA-20240517094157

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 03/19/2024
Date Signed: 03/22/2024 03:59:51 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
04/07/2023 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20230407113436

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: 153	DATE:	03/19/2024
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Pamela Parsons, administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not respond to resident in a timely manner.
Staff are not providing resident with privacy.
Staff did not safeguard resident's personal belongings.
Staff did not provide a comfortable environment for resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted a subsequent visit today. The initial unannounced 10-day complaint visit was conducted on 04/13/23 and a subsequent visit was conducted on 03/15/24 with LPAs Tao and Reyes. On today’s visit, LPA met with Administrator, Pamela Parsons upon arriving at the facility. LPA explained the purpose of today’s visit which to investigate the above-mentioned allegations.

The investigation consisted of interviews of residents from resident#1 (R1) to resident#11 (R11), interviews of staff from staff#1 (S1) to staff#5 (S5), and interviews with visitors. LPA Tao conducted a facility tour, and review of facility records. LPA Tao spoke with Administrator and obtained resident roster, staff roster, and Resident #1’s (R1)’s facility files.

(-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: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

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-20230407113436

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: 03/19/2024

NARRATIVE

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The investigation revealed the following:

In regard to the allegation: staff did not respond to resident in a timely manner, it was alleged that staff did not provide assistance to resident timely after resident fell. Ten (10) out of eleven (11) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that facility staff would provide timely care if residents called on the signal button for help. All five (5) staff who were interviewed denied the allegation. Staff interviews revealed that staff would assist residents timely if residents when residents called for help. LPA tested and called the signal button. Staff responded to LPA’s calls in about 2 minutes and staff attended to residents’ rooms to provide care in range of from 3 minutes to 10 minutes. Therefore, there was not preponderance evidence to show staff failed to respond to resident in a timely manner.

In regard to the allegation staff are not providing resident with privacy, it was alleged that staff did not provide privacy to residents and visitors during visits and did not allow visitor to go to resident’s room during the visit. Ten (10) out of eleven (11) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that staff provided privacy to residents during visitation and residents could choose where the visitation took place. All five (5) staff who were interviewed denied the allegation. Staff interviews revealed that staff honored residents’ privacy and offered it to residents for visitations. Per record review, residents had personal rights for privacy and visitation. Therefore, the facility staff provided residents and visitors with privacy during visits.

In regard to the allegation staff did not safeguard resident's personal belongings, it was alleged that resident’s cell phone was missing while in care. Ten (10) out of eleven (11) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that when their cell phones or personal items were claimed missing, staff would assist to find them and one (1) of eleven (11) residents did not report missing a cell phone. Their items were misplaced and found in the next day. Residents were not aware of any personal items being stolen. All five (5) staff who were interviewed denied the allegation. Staff interviews revealed that staff would search for the missing items and return them to residents when found. Staff stated the claimed missing items were misplaced, not missing. Therefore, the investigation did not reveal facility fail to safeguard residents’ 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: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20230407113436

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: 03/19/2024

NARRATIVE

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In regard to the allegation staff did not provide a comfortable environment for resident, it was alleged that resident was left in a shivering cold room in the cold day. Ten (10) out of eleven (11) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that residents had never left in a cold room shivering. The staff would check on them and assist as needed. All five (5) staff who were interviewed denied the allegation. Staff would do rounds and respond to call buttons to assist resident if rooms were cold or hot. Per LPA’s observation, resident’s rooms’ temperature were in the range of 70- 75 degree Fahrenheit which was in compliance with Title 22. Therefore, the residents’ rooms had comfortable temperature.

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 reports were provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

LIC9099 (FAS) - (06/04)

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