197609826-9-15-2021-31-AS-NMAN-C6VUUL-20210915155342

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609826
Report Date: 09/14/2021
Date Signed: 09/15/2021 10:05:04 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2020 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20200617092354

FACILITY NAME:	GARDEN OF PALMS		FACILITY NUMBER:	197609826
ADMINISTRATOR:	COHEN, YEHUDAH		FACILITY TYPE:	740
ADDRESS:	1025 N FAIRFAX AVE		TELEPHONE:	(323) 656-7900
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	130	CENSUS: 37	DATE:	09/14/2021
		UNANNOUNCED	TIME BEGAN:	02:07 PM
MET WITH:	Yonathan Isaacs - Executive Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff handled resident's in a rough manner.

Staff mismanaged resident's medication.

Resident's files are not updated.

Inadequate staffing to meet resident's needs.

Food has poor quality.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to deliver final investigation report for the above noted allegations. The investigation of this complaint was initiated by then LPA Naira Margaryan. LPA met with Executive Director Yonathan Isaacs and explained the reason for the visit.

Regarding the allegation that Staff handled resident's in a rough manner, It was alleged that caregivers are rough to the residents. During course of investigation, on 06/19/2020 at 3:40 PM, LPA spoke with the Executive Director (ED), who stated that no resident or residents’ responsible parties ever complain to him about the staff being rough to residents. At 4:45pm, LPA made a phone contact and spoke with the residents’ care director and caregivers and they all denied being rough to the residents. On 06/19/20 at 4:45 PM, LPA Margaryan spoke with four (04) out of twelve (12) residents residing in memory care, and they stated that they have no concern about facility staff. No relevant information or evidence was available during this investigation to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary Tan	TELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

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 31-AS-20200617092354

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GARDEN OF PALMS	FACILITY NUMBER: 197609826
	VISIT DATE: 09/14/2021

NARRATIVE

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(continued from LIC 9099)

Regarding the allegation that Staff mismanaged resident's medication, It was reported that medication assistant often administers wrong medication. To investigate the allegation, on 06/19/2020 at 3:30 PM, LPA Margaryan spoke with the facility staff who handles residents’ medication. Interview revealed that all residents’ medications are in the bubble packs. The staff pops the medication and puts the pills in the cup in front of the residents. Medication records are being completed immediately after the pills are dispensed to the residents. On 06/19/2020, at 4:00 PM, LPA Margaryan made a face time call and reviewed medication supply and medication records for the five (05) out of twelve (12) residents. No discrepancies were noted during review. Based on interviews and observation, there is no sufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation that Resident's files are not updated, complainant was alleging that Residents file aren't up to date. During this investigation on 06/17/2020 at 3:30 PM, LPA Margaryan spoke with ED and he stated that facility files are complete and updated. As per LPA Margaryan's request, ED was able to show the files of five (05) facility residents. In addition, the copies of the files were e-mailed to the LPA. On 06/22/20 at 11:45am, LPA Margaryan reviewed the files and they were updated and complete. During this investigation no information or evidence was available to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
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Regarding the allegation that there was Inadequate staffing to meet resident's needs, It was reported that the facility is understaffed. At the time of investigation on 06/19/2020, at 3:30 PM LPA Margaryan spoke with ED and residents care director. Interviews revealed that there are forty (40) residents in the Assisted Living and twelve (12) residents in the Memory Care. For each shift, there are two (2) caregivers working in the memory care and two (2) caregivers in the assisted living unit. Residents in the assisted living are mostly independent and do not require assistance. During night shift there are total of three (3) staff working in both sections.
On 06/19/2020 at 4:45 PM, LPA Margaryan spoke with three (3) caregivers. Interviews revealed that each caregiver in memory care has specific number of the residents to assist. Staff are able to provide required assistance in timely manner. At times if they need help the staff from the assisted living section could come to help them. On 06/22/2021 at 12:30 PM, LPA Margaryan reviewed facility staff schedule and it verifies the information received from the staff. Based on interviews and record review there is no relevant information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary Tan	TELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20200617092354

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: GARDEN OF PALMS	FACILITY NUMBER: 197609826
	VISIT DATE: 09/14/2021

NARRATIVE

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(continued from LIC 9099-C, P2)

Regarding the allegation that Food has poor quality, It was reported that facility food is awful. To investigate the allegation, on 06/19/2021 at 3:30 PM, LPA Margaryan spoke with ED, virtually inspected the kitchen and reviewed the facility food supply. The kitchen staff was making a dinner, which consisted of Chicken Noddle soup, BBQ chicken, Steamed vegetables, white rice and variety of the desert. On 06/19/2020 between 3:30 PM and 4:00 PM, LPA spoke with five (5) out of twelve (12) residents from the memory care unit and they expressed no concerns about quality of the food served at the facility. On 06/22/2021 at 12:30pm, LPA Margaryan reviewed facility menu and it meets Title 22 Requirements. Based on interviews, observation and record review, there is no sufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazard is noted during this visit.

Exit interview was conducted and a copy of this report was issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Jose Gary Tan	TELEPHONE: (323) 213-1149
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

LIC9099 (FAS) - (06/04)

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