198600539-8-14-2023-28-AS-TVAO-CUWTNA-20230821145225

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 08/14/2023
Date Signed: 08/14/2023 03:29:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
03/21/2023 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230321120830

FACILITY NAME:	PICO RIVERA GARDENS		FACILITY NUMBER:	198600539
ADMINISTRATOR:	MEIR SHAUL YITZI TEICHMAN		FACILITY TYPE:	735
ADDRESS:	6525 ROSEMEAD BLVD.		TELEPHONE:	(562) 949-8489
CITY:	PICO RIVERA	STATE: CA	ZIP CODE:	90660
CAPACITY:	185	CENSUS: 145	DATE:	08/14/2023
		UNANNOUNCED	TIME BEGAN:	02:57 PM
MET WITH:	Andrew DeVera, Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff threaten client.
Staff took photos of client without permission
Staff did not safeguard client's personal property
Staff do not afford client respect in their relationship
Facility plumbing is in disrepair
Housekeeping does not ensure client's room is clean.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit for the allegations listed above. LPA arrived unannounced and met with Administrator, Andrew DeVera. The purpose of the visit was explained.

The investigation consisted of the following:
On 3/28/23, LPA Villalobos conducted the initial complaint visit to tour the physical plant and collect the following documents: staff and client roster, copies of documents from Client #1's (C1) File. On 5/25/23, LPA Chan interviewed the Administrator, 4 staff and 12 clients. A tour was also conducted.

The investigation revealed the following:
Allegation – Staff threaten client. It is alleged that staff had threated client(s) if they speak to Licensing.

(Continue on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

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-20230321120830

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PICO RIVERA GARDENS	FACILITY NUMBER: 198600539
	VISIT DATE: 08/14/2023

NARRATIVE

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Administrator DeVera and Staff deny threatening clients if they speak to Licensing. They stated clients have the right to speak to anyone they wish, and staff do not intrude. They allow clients to talk to Licensing Program Analysts when they visit and do not question them after. LPA interviewed 12 clients and none had been threatened by staff if they were to report things to licensing.

Allegation – Staff took photos of client without permission. The administrator and staff stated they do not take pictures of clients in their rooms or when they are misbehaving. Staff stated the only times they would take pictures of clients are for identification purposes upon admission and/or during facility events. Staff will inform them photos are being taken. All 12 of the clients interviewed have not seen staff taking pictures of them or others.

Allegation – Staff do not safeguard client’s personal property. Staff interviewed stated they recommend clients to lock their rooms whenever they leave and do not leave things unattended. Clients have their own keys to the room. The facility also has surveillance cameras and staff can review them if anyone suspects someone else going into their room to take their belongings. Clients interviewed stated they have not had any belongings missing because staff remind them to lock their rooms when they leave.

Allegation – Staff do not afford client respect in their relationship. Staff denied communicating with clients in a rude manner or harassing them. They stated they treat them with respect and talk to them calmly. Per staff, they receive training on ways to effectively communicate with clients and client rights. Staff also stated they need to speak to clients firmly and that clients may interpret that style as being rude. LPA interviewed 12 clients and 2 of them feel that some staff are rude and argumentative but not harassed. In addition, they feel staff do not take their time to listen or walk away while clients are talking to them.

Allegation – Facility plumbing is in disrepair. It was alleged that the knob for the cold water did not work and one of the clients almost got burned while taking a shower. Staff interviewed stated they will take care of anything in disrepair almost immediately. The maintenance staff indicated that if there are any issues in a client room, staff will log it down on the record book to be repaired. As for the client with the broken cold-water knob, staff stated it was fixed right away when it was reported. 11 out of the 12 clients reported that when something is broken or in disrepair, staff will fix it the same day or by the next day.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20230321120830

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PICO RIVERA GARDENS	FACILITY NUMBER: 198600539
	VISIT DATE: 08/14/2023

NARRATIVE

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Allegation – Housekeeping does not ensure client’s room is clean. Administrator stated there are 4 housekeepers employed. There are at least 2 housekeepers working daily to ensure the facility is clean. Client rooms are cleaned at least 2 times a week. Per staff, the housekeepers clean and the clients will make a mess again. The majority of the clients interviewed stated that housekeepers clean often. They observe the housekeepers cleaning their rooms at least once of twice a week and do a good job cleaning. Some stated they try to keep their rooms as clean as possible while one admitted to making the room messy again after staff cleans.

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.

An exit interview was held and a copy of this report was provided to the administrator.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

LIC9099 (FAS) - (06/04)

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