197606145-10-21-2024-28-AS-DSIS-DACUGS-20241024153446

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 10/21/2024
Date Signed: 10/21/2024 02:49:09 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
10/16/2024 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20241016112841

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: 160	DATE:	10/21/2024
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Pamela Parsons - Executive Director		TIME COMPLETED:	02:57 PM

ALLEGATION(S):

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Staff did not abide to admission agreement

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial complaint visit to address the allegation listed above. LPA met with Pamela Parsons, Executive Directof for the facility, and explained the purpose of the visit.

The investigation consisted of the following: During the visit, LPA interviewed Staff #1 - 4 (S1 - S4), Residents #2 - 12 (R2 - R12), and also obtained copies of the staff and resident rosters, along with documentation proving that Resident #1's (R1's) community fee had been refunded. LPA attempted to interview R1 during the visit, however they are not a resident of the facility and has since been placed in another facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Erik Zaragoza	TELEPHONE: (323) 981-3983
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

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-20241016112841

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: 10/21/2024

NARRATIVE

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The investigation revealed the following: In regards to the allegation that "Staff did not abide to admission agreement," it is alleged that R1 had been admitted into Arcadia Gardens Retirement Hotel with acknowledgements from staff, including processing the payment of the community fee and being provided arrangement paperwork for R1's move into the facility, however the family of R1 was later told that Arcadia Gardens Retirement Hotel backed out of the agreement and would not be accepting R1 into the facility. During interviews with the residents, eleven (11) out of eleven (11) did not corroborate the allegation that the facility has not been abiding to the admission agreements that they signed. One resident interviewed stated that all services that are described in the admissions agreement are being provided by the staff members. Another resident interviewed stated that all of their needs are being met, and stated that all services they require are being offered by the facility staff members. During interviews with the staff, four (4) out of four (4) interviewed denied the allegation. One of the staff interviewed stated that they were initially not informed that R1 had a prohibited health condition when they were planning to admit R1, however once this diagnosis was discovered and along with the fact that R1 was not receiving hospice care either, the facility determined that they were not able to admit the resident. Another staff member stated that they had received incomplete information from the Skilled Nursing Facility (SNF) that R1 was residing at, and was not aware that they had a prohibited health condition when they initially considered R1 for admission into the facility the facility, and remained unaware of this until the facility nurse conducted a body check on R1 at the SNF they were residing at, which revealed the prohibited health condition. During record review, LPA determined that the community fee that R1's family had paid was refunded on 10/9/2024 in its full amount. It was also determined that R1 had never signed an admission agreement with the facility.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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.

Exit interview held, and a copy of this report was provided.

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Erik Zaragoza	TELEPHONE: (323) 981-3983
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

LIC9099 (FAS) - (06/04)

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