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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609826
Report Date: 07/16/2024
Date Signed: 07/16/2024 01:49:40 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, 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
06/02/2023 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20230602143343
FACILITY NAME:GARDEN OF PALMSFACILITY NUMBER:
197609826
ADMINISTRATOR:GINSBURG, MENACHEMFACILITY TYPE:
740
ADDRESS:1025 N FAIRFAX AVETELEPHONE:
(323) 656-7900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:0CENSUS: 107DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Adam SyncheffTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are not assisting resident with bathing
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to conclude the investigation regarding the above allegation. It was reported that Resident 1 (R1) is supposed to receive assistance with bathing twice a week. Since their admission on or around 05/01/23, R1 had only received assistance with bathing at least once every other week, which was on or around 05/09/23 and 05/28/23. LPA met with the administrator, Adam Syncheff, and advised him of the allegation. Today's investigation consisted of interviews with residents and staff, a physical plant inspection, and record review.

Interviews with three (3) of three staff do not corroborate with the allegation. According to staff, R1 did get assistance with their bath at least twice a week, and R1 has never missed getting assistance with bathing under their care and supervision. Interviews made with ten (10) of ten residents also do not corroborate with the allegation. No concerns or complaints made from residents regarding not getting assistance with bathing. R1 no longer resides at the facility, therefore, could not be interviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael CavaTELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 31-AS-20230602143343
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: 07/16/2024
NARRATIVE
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Review of R1's records reveal that R1 required moderate care. R1 has the capacity for self care, which includes the ability to bathe self with only limited or standby assist.

Based on the information obtained, there wasn't enough evidence to prove that staff did not assist R1 with bathing. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISOR'S NAME: Eva MillerTELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael CavaTELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2