<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600145
Report Date: 11/02/2022
Date Signed: 11/02/2022 03:20:19 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
09/12/2022 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220912115954
FACILITY NAME:BELL GARDENS MANORFACILITY NUMBER:
198600145
ADMINISTRATOR:MARIA ZUNIGAFACILITY TYPE:
735
ADDRESS:8424 S EASTERNTELEPHONE:
(562) 927-1389
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY:141CENSUS: 74DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Terry McCallTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff opens resident's mail without consent.
Staff is withholding resident's mail.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Assistant Administrator Terry McCall and explained the reason for the visit.
The purpose of the visit is a subsequent visit to deliver findings from the original complaint dated 09/12/2022.
On initial visit 9/15/2022 from 9:50 AM to 10.15 A.M. Administrator Maria Zuniga and Assistant Administrator Terry McCall were interviewed. At 10:15 A.M. to 11:15 AM Client's C1-C 8 were interviewed
In regards to the allegation Staff opens resident's mail without consent, based on interviews conducted and information gathered 7 of 8 client's interviewed stated that their mail has not been opened.
1 client stated that 1 envelope was torn in the corner ripped and torn, but didn't know who did it.
Staff and client's interviewed stated that the Staff will announce on intercom that mail is here and they will come and get it.
Staff interviewed stated the only mail they open are where they are payee and LPA observed envelope that listed client's name and facility as payee.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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 4
Control Number 28-AS-20220912115954
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: BELL GARDENS MANOR
FACILITY NUMBER: 198600145
VISIT DATE: 11/02/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 alleged violation did or did not occur, therefore the allegation is unsubstantiated.
In regards to the allegation Staff opens resident's mail without consent, based on interviews condcuted and information gathered 7 of 8 clients interviewed stated that the facility does not withhold their mail.
1 client thought mail will sit there for awhile, butt does not think facility purposely withholds it. Client had a letter that was late, but they contacted IRS who had lost the check.
Staff stated they pick up mail everyday Monday thru Friday and call client's on the intercom and the mail is always in the facility to pick up.
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.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
09/12/2022 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220912115954

FACILITY NAME:BELL GARDENS MANORFACILITY NUMBER:
198600145
ADMINISTRATOR:MARIA ZUNIGAFACILITY TYPE:
735
ADDRESS:8424 S EASTERNTELEPHONE:
(562) 927-1389
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY:141CENSUS: 74DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Terry McCallTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident's are working under the table at the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
In regards to the allegation Resident's are working under the table at the facility, based on interviews conducted and information gathered, 2 of 8 clients interviewed stated that a couple of client's get cash from the facility to clean, do dishes and go to the store on errands.
Interview with Administrator who confirmed that 2 client's do get cash weekly to help with certain tasks such as sweeping and picking up cigarette buds.

Based on LPA's observations and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.
California Code of Regulations, Title 22, Division 6, Chapter 1, are being cited on the attached LIC9099-D.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 28-AS-20220912115954
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: BELL GARDENS MANOR
FACILITY NUMBER: 198600145
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2022
Section Cited
CCR
80065(j)
1
2
3
4
5
6
7
Personnel Requirements
Clients shall not be used as substitutes for required staff but shall be permitted, as a voluntary part of their program of activities, to participate in household duties and other tasks suited to the client's needs and abilities.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Administrator to review Regulation 80065 Personnel Requirements and submit by POC due date Self Certification that clients shall not be paid to do household duties and tasks.
8
9
10
11
12
13
14
Based on interviews conducted the licensee used clients as substitutes for staff doing certain tasks such as sweeping and picking up cigarette buds which caused a potential health and safety risk to resident's in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4