197606145-2-24-2022-28-AS-MVAO-CCDPEL-20220310101518

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606145
Report Date: 02/24/2022
Date Signed: 02/24/2022 05:11:41 PM

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
01/05/2021 and conducted by Evaluator Noemi Galarza

COMPLAINT CONTROL NUMBER: 28-AS-20210105145651

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: 176	DATE:	02/24/2022
		UNANNOUNCED	TIME BEGAN:	03:02 PM
MET WITH:	Pamela Parsons, Executive Director		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Resident is isolated.
Residents are served cold food.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit and delivered findings on the above allegations. The purpose of the visit was discussed with Executive Director Pamela Parsons.

The investigation consisted of the following: On 1/14/2021, staff (S1 & S2), and resident (R1) were interviewed. A virtual physical plant tour of kitchen area/food preparation station, and resident rooms 117B, and 118 was conducted at 11:45 AM via FaceTime due to Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures. The following items were obtained: [COVID Mitigation Plan, Food Menu [Nov.2020 – Jan.2021], food preparation, service, and storage protocols during COVID-19 pandemic, Dietician Contact Information, pandemic staff training protocols, LIC 500 Personnel Report, Resident Roster, Identification and Emergency Information (Face Sheet) & Physician Reports for 2 residents, and staff and resident contact information]. During today's visit, residents (R2- R10) and staff (S3) were interviewed, a tour of the physical plant, including the kitchen and serving area were conducted.

See LIC 9099C for report continuation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022

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-20210105145651

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: 02/24/2022

NARRATIVE

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Allegation: "Resident is isolated." Based on interviews conducted and due to the situation surrounding the Coronavirus Disease 2019 (COVID-19) residents at the facility have quarantined in their private rooms a few times since the beginning of the pandemic. It is alleged that resident (R2) was isolated in the room in December 2020 and January 2021. On December 7, 2020, the facility stopped communal meals in the dining room due to COVID-19 precautionary measures recommended by Department of Public Health. Five (5) out of 10 residents interviewed stated they did feel isolated when the facility asked residents to stay in their rooms as a precautionary measure due COVID-19 cases in the building. All residents interviewed stated they understood the reason they had to quarantine in their rooms. Resident (R2) stated that although it felt isolated with the public health directive, the facility was trying to protect the residents from the COVID-19 virus. Staff stated that each time residents were asked to stay in their rooms staff did room to room visits, hallway exercise activities, and small group activities in the oval room. In addition they delivered to resident's rooms arts and crafts materials. There are 3 different activity personnel that check on the residents regularly. Caregivers helped residents make phone calls, and Facetime, and check on them throughout the day.

Allegation: "Residents are served cold food." Based on observation and interviews conducted the findings indicate that when the residents were asked to stay in their room due to COVID-19 virus health orders the meals were served in styrofoam containers. The food was cooked, was placed into a heat lamp, then into the styrofoam box, then cart, and then taken to the residents rooms. Kitchen staff checked the temperature of the food. In addition, the facility purchased heat packs. All residents were provided portable tables for food. Most of the residents have microwaves in their rooms, and some residents have kitchenettes. Mealtimes are 8:00 am, 12:00 and 5:00 pm, and snack times are 10:00 am, 2:00 pm, and 7:00 pm. One (1) out of 10 residents stated the food served in their room often arrived cold, and was not able to warm it itself because it did not have a microwave in the room. All other residents interviewed had no issues with the food delivery at that time or during the most recent resident quarantine. Staff denied this allegation. During both visits, a tour of the kitchen was conducted. Meal preparation, serving protocols, menus, and tray service was observed to be compliant with food handling regulations. The kitchen and dining rooms are clean and sanitary.

Based on interviews conducted and observations made there was insufficient evidence to prove the 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 was conducted with Executive Director Pamela Parsons. A copy of the report was issued.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Noemi Galarza	TELEPHONE: (323) 981-3974
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022

LIC9099 (FAS) - (06/04)

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