198600539-9-4-2025-28-AS-DSIS-DMATJ6-20251009144548

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 09/04/2025
Date Signed: 09/04/2025 03:50:31 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
08/27/2025 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250827115046

FACILITY NAME:	PICO RIVERA GARDENS		FACILITY NUMBER:	198600539
ADMINISTRATOR:	JOYCE GARCIA		FACILITY TYPE:	735
ADDRESS:	6525 ROSEMEAD BLVD.		TELEPHONE:	(562) 949-8489
CITY:	PICO RIVERA	STATE: CA	ZIP CODE:	90660
CAPACITY:	185	CENSUS: 171	DATE:	09/04/2025
		UNANNOUNCED	TIME BEGAN:	09:37 AM
MET WITH:	Joyce Garcia - Administrator		TIME COMPLETED:	04:06 PM

ALLEGATION(S):

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Licensee is not providing the least restrictive environment for resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial unannounced complaint visit to address the allegation listed above. LPA met with Joyce Garcia, administrator for the facility, and explained the purpose of the visit.

The investigation consisted of the following: LPA obtained staff and resident rosters, interviewed Clients #1 - 12 (C1 - C12), reviewed eight (8) client records, and reviewed eight (8) client medications along with their medication administration records (MARs), reviewed the house rules for the facility, and also interviewed staff #1 - 4 (S1 - S4).

The investigation revealed the following: In regards to the allegation "Licensee is not providing the least restrictive environment for resident in care," it is alleged that a client was not allowed to keep one of their medications in their room even though they have been holding the medication previously, which is limiting their independence.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

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-20250827115046

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: 09/04/2025

NARRATIVE

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During interviews with the clients, eleven (11) out of twelve (12) did not corroborate the allegation. One client interviewed stated that they do not feel that the staff are not creating a restrictive environment for themselves or the other clients in care. Another client interviewed stated that they are independent in the facility and do not believe the facility restricts their independents or their rights. During interviews with the staff, none of them corroborated the allegation. One of the staff interviewed stated that they are following their house rules with medications which state that all medications must be delivered to the office, and that no medications can be kept in the residents’ rooms. Another staff member who was familiar with the situation stated that the client in question had filled this particular medication at their own pharmacy rather than providing the prescription to the office, and so they were not aware the medication was ordered until recently, and have since asked the doctor to send the medication order to them so they can store the medication and keep it on record. During record review of the house rules, it does indicate that no medications are allowed to be kept in client bedrooms. Additionally during record review of the client's physician report, it indicates that they are not able to administer and store their own medications.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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.

Exit interview held, and a copy of this report will be emailed to the administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

LIC9099 (FAS) - (06/04)

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