198600145-1-7-2025-28-AS-RORN-DCWVQJ-20250114153824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600145
Report Date: 01/07/2025
Date Signed: 01/07/2025 02:51:08 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
12/17/2024 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20241217161449

FACILITY NAME:	BELL GARDENS MANOR		FACILITY NUMBER:	198600145
ADMINISTRATOR:	MARIA ZUNIGA		FACILITY TYPE:	735
ADDRESS:	8424 S EASTERN		TELEPHONE:	(562) 927-1389
CITY:	BELL GARDENS	STATE: CA	ZIP CODE:	90201
CAPACITY:	141	CENSUS: 71	DATE:	01/07/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Maria Zuniga		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff do not assist resident with obtaining medical care
Staff do not ensure that resident's dietary needs are met
Staff do not assist resident with grooming
Staff do not assist resident with bathing

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced subsequent visit to the facility and was greeted by Administrator Maria Zuniga and explained the reason for the visit.
The purpose of the visit is to investigate the above allegations and deliver findings.
The initial visit was conducted on 12/19/24 and the following was done:
Administrator Maria Zuniga and Staff S1 and Staff S2 were interviewed.
Interviews were conducted with Client C1 and Home Health Representative.
Resident and Staff Roster were submitted.
File for Client C1 was reviewed and various documents to be submitted.
At today's visit Client's C2- C8 were interviewed.
In regards to the allegation Staff do not assist resident with obtaining medical care, based on interviews conducted and information gathered Client C1 stated he just saw a doctor 3 days ago for his foot.
Said the facility will provide transportation to go to any medical appointments and will also bring him back.
Client's C2- C8 all stated that a medical doctor will come to the facility 1x a month and they have all

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: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

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 3

Control Number 28-AS-20241217161449

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: 01/07/2025

NARRATIVE

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seen the doctor when he was last here. All stated that staff will arrange transportation for any medical appointments.
Staff interviewed stated that the doctor will come to the facility 1 x a month and Client C1 always sees him.
In addition the Home Health Nurse visits 2x a week and in interview confirmed that she sees Client 1 for his feet and stated staff have always been encouraging and react right away to Client C1 for all his needs.
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.

In regards to the allegation Staff do not ensure that resident's dietary needs are met, based on interviews conducted and information gathered Client C1 stated that he gets 3 meals a day and a snack.
Said staff encourages him to eat all meals.
Client's C2- C8 all stated meals are well balanced and nutritional and that they always get their meals and if not at the meal they will look for those who aren't there and make sure they will eat.
Staff interviewed stated that Client C1 eats all his meals and if he is not at the meal they will go and look for him and knock on his door.
Home Health Nurse interviewed and said that she believes Client C1 is getting all his meals.
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.
In regards to the allegation Staff do not assist resident with grooming, based on interviews conducted and information gathered Client C1 said staff will assist for any shaving needs and will assist in any grooming need he might have such as nail clipping. Also Home Health will assist with anything regarding his feet and ensures his hygiene is good.
Client's C2- C8 all stated that staff will prioritize those who need the most help and will tend to their grooming such as nail care, shaving and haircuts.
Staff stated that all clients are offered assistance with grooming and in regards to Client C1 they assist him with shaving, nails, haircuts and preparing shampoo and soaps for showering.
Home Health Nurse stated that Client C1's foot has to be clean for healing and sees him 2x a week and
staff are very attentive to Client C1 and will stay on him about changing his socks and showering.
Stated she has never observed any neglect and would report it to her agency if there was.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20241217161449

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: 01/07/2025

NARRATIVE

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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.

In regards to the allegation Staff do not assist resident with bathing, based on interviews conducted and information gathered Client C1 stated that he is taking showers. Said each time he showers he changes his clothing. Stated he did shower and change his clothes today. Said his clothes are washed alot.
Client's C2, C5, C6 and C7 all stated that they know Client C1 and heard staff offering Client C1 assistance to shower.
Staff stated they will offer Client C1 assistance with showering and will keep encouraging even if he doesn't want to.
Home Health Nurse stated that Client C1 has never been observed by her with looking disheveled or smelling bad. Stated staff will stay on him to change his socks and shower. Said she needs his feet to be clean in order to heal and has not witnessed Client C1 being neglected.
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: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC9099 (FAS) - (06/04)

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