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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 10/31/2024
Date Signed: 10/31/2024 05:01:52 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
10/29/2024 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241029140844
FACILITY NAME:ARCADIA GARDENS RETIREMENT HOTELFACILITY NUMBER:
197606145
ADMINISTRATOR:PAMELA PARSONSFACILITY TYPE:
740
ADDRESS:720 W. CAMINO REALTELEPHONE:
(626) 574-8571
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:200CENSUS: 159DATE:
10/31/2024
UNANNOUNCEDTIME BEGAN:
02:18 PM
MET WITH:Pamela Parsons, Executive DirectorTIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Staff are prohibiting resident from having visits.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Galarza and Mayra Cota conducted an initial 10-day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with Executive Director Pamela Parsons.

The investigation consisted of: A physical plant tour of the interior common areas and interviews with residents (R1-R11), staff (S1-S3), private caregiver, and family (F1) was completed. A copy of the facility visitation policy, resident roster, staff roster, and file documents pertaining to resident (R1) and former resident (R12) were obtained.

*Narrative continues next page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi GalarzaTELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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 2
Control Number 28-AS-20241029140844
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: 10/31/2024
NARRATIVE
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Allegation: Staff are prohibiting resident from having visits. The complaint alleges that approximately 4 to 5 weeks ago a person went to the facility to visit resident (R1) and Administrator asked the visitor to wait in the conference room. Administrator then wheeled in the non-ambulatory resident and shortly after the 2 family members entered the conference room. The visitor/former resident (R12) stated they always give advance notice to facility staff of visit plan. It was reported that Administrator allowed R1’s family members to yell and tell the visitor that they are not allowed to visit the resident and was asked to leave the facility. The complaint alleges there is no court order, restraining order, or conservatorship that stipulates resident (R1) shall not be allowed contact with the visitor. A total of three (3) staff were interviewed. Based on interviews conducted, staff stated that the visitor was a previous resident at the facility. Resident (R1's) Power of Attorney's have expressed concern to staff about R1's safety due to cognitive impairment. According to interviews, visitor's conduct i.e. touching of R1's body parts and gift giving is of concern because R1 is cognitively impaired and may be easily influenced by visitor. Staff reported that in the past R1 has stated they feel uncomfortable when they meet with visitor. Staff met with R1 and their POAs on several occasions, which resulted in R1 signing "Resident's Visitor Restriction Forms", that state that they restrict all visits from aforementioned visitor. However, staff reported that due to R1's short and long term memory deficit, sometimes R1 does agree to meet with visitor. The facility visitation hours are from 8AM - 6 PM, with after hour flexibility if needed.

Resident (R1) stated that the visitor is a good friend, and is "alright" with the person visiting. The resident stated that staff have not infringed upon their visitation rights. A total of 11 residents were interviewed, none reported visitation issues, and stated their visitors are allowed to visit in the common areas and in their rooms. One (1) family member was interviewed. They stated there are no issues with facility visitation policy and is able to visit anytime. A private caregiver was also interviewed and expressed no concern about facility visitation protocols. Both staff and resident (R1) confirmed visitor is still allowed to visit the resident. Based on record review, the findings indicate R1 requires total care and has cognitive impairment but is able to communicate needs. Former resident (R12)/visitor is also cognitively impaired. There is insufficient evidence to corroborate the allegation.

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 and a copy of this report was discussed and provided to facility Executive Director Pamela Parsons.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi GalarzaTELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC9099 (FAS) - (06/04)
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