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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 06/20/2024
Date Signed: 06/20/2024 03:35:55 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
02/06/2023 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230206104009
FACILITY NAME:PICO RIVERA GARDENSFACILITY NUMBER:
198600539
ADMINISTRATOR:MEIR SHAUL YITZI TEICHMANFACILITY TYPE:
735
ADDRESS:6525 ROSEMEAD BLVD.TELEPHONE:
(562) 949-8489
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:185CENSUS: 138DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Tony Almos, AdministratorTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Facility staff are selling drugs to residents.
Facility staff are working while under the influence drugs/alcohol.
Facility does not require staff to have complete employee records.
Facility staff are not adequately trained.
Facility does not have sufficient staff to meet the needs of the residents
Facility does not maintained a clean environment.
Facility has pests.
Facility is in disrepair.
Facility does not serve residents a variety of nutritious quality foods.
Facility does not have adequate food supplies.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sanjay Vaid conducted a subsequent complaint visit regarding the allegations listed above to deliver complaint investigation findings. LPA Vaid met with Julia Elias, Assistant Administrator/Med Tech Supervisor and discussed the purpose of the visit, which was to deliver complaint investigation findings. Administrator Tony Almos arrived shortly after. LPA Jose Villalobos arrived shortly afterwards as well.

On 01/12/24, LPA Ashley Calderon, conducted the initial visit, during visit, LPA Calderon interviewed Staff #1-#9 (S1-S9). LPA collected documents from Staff #1-#9 (S1-S9). LPA collected and reviewed copies of the staff and client rosters.

On todays visit 06/20/24, LPA Vaid interviewed Administrator, staff, and clients, toured the physical plant and observed the facility food supply to be well maintained. LPA Vaid interviewed staff#10-#13(S10-S13) and clients #1-#13(C1-C13). Facility is clean and free of debris.
Continued 9099C..
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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 5
Control Number 28-AS-20230206104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PICO RIVERA GARDENS
FACILITY NUMBER: 198600539
VISIT DATE: 06/20/2024
NARRATIVE
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LPA collected documents such as: the food menu for the last six (6) weeks, Staff and Client Roster , Pest Control Services Receipts for three(3) months, Maintenance logs for month of April and May, Food supply order list from mid-May to mid-June. Viewed maintenance logs from 2021 to 2024. Reviewed 6 random employee files. Tour of the physical plant to include the following client rooms: 9A, 24A, 220B, 26A, 106A,
45A, 50B.

Allegation#1 "Facility staff are selling drugs to residents." It is alleged that S4 is selling drugs to clients in care. S4 no longer works at the facility and refused to interview. LPA interviewed thirteen (13) clients and all clients have no knowledge of the allegation and reported they never did drugs in the facility, and they never witnessed any staff selling drugs to the clients in the facility. LPA interviewed four (4) staff and reported that they never witnessed any drug activity in the facility, and they never witnessed any staff sell drugs to clients in the facility. Administrator also stated that they are zero tolerance for drugs in the facility. The facility also has camera 24/7 on the front and back of the facility. And no clients ever reported to the administrator about drug dealing in the facility or outside the facility. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation#2 “Facility staff are working while under the influence drugs/alcohol” It was alleged that staff came to work under the influence of alcohol and drugs. The Manager denied the allegation and expressed that staff do not come to work under the influence nor do they smell of drugs and alcohol. 4 of 4 staff denied the allegation stating they have never come to work under the influence or witness other staff coming to work under the influence. 13 out of 13 residents have no knowledge of the allegation stating they have not witness staff influence of drugs or alcohol at the facility. LPA observed staff working and staff did not appear to be intoxicated. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation #3- “Facility does not require staff to have complete records” It was alleged that facility staff was not having completed records in their file. LPA interviewed residents, thirteen (13) out of thirteen (13) residents interviewed did not have knowledge of the allegation. Residents stated staff were able to provide care to residents needs. LPA interviewed staff, all four (4) staff interviewed denied the allegation and stated they have complete records on file. Per staff record reviews, staff has all necessary documents in their employee files. Six (6) random staff files were viewed. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
CONTINUED ON LIC 9099-C
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20230206104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PICO RIVERA GARDENS
FACILITY NUMBER: 198600539
VISIT DATE: 06/20/2024
NARRATIVE
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Allegation# 4 “Facility staff are not adequately trained” It is alleged that the staff at the facility are not adequately trained to handle the clients. LPA interviewed four (4) staff and four (4) of four (4) staff denied that allegations. Thirteen (13) residents interviewed could not collaborate the allegation. LPA reviewed six (6) staff files and all the staff had up to date training that meets the department’s requirements. There is not enough evidence to substantiate this allegation. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation# 5 " Facility does not have sufficient staff to meet the needs of the residents”. It is alleged that facility cannot meet the needs of the clients due to insufficient staff. Four(4) out of four(4) denied the allegation and stated that they have sufficient staff to cover all the areas and stations. This statement was also confirmed by the Administrator, that staff who are crossed trained to help in areas that face a shortage of staff. Thirteen (13) of thirteen (13) clients interviewed could not corroborate the allegation. LPA observed sufficient staff on shift during the visit. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation# 6 " Facility does not maintain a clean environment. It is alleged that there is trash all over the facility. Four(4) out of four(4) staff stated that clients tend to throw their trash all over outside the facility, but staff are picking it up throughout the day. On 06/20/2024, LPA observed a staff picking up trash that was in the area where the client’s hangout outside. LPA observed that the facility was in an adequate clean state. Facility has four (4) housekeeping on staff, and were observed to clean and sanitize common areas. Based on observations the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation# 7 "Facility has pests". It is alleged that there are pests in the facility. (4) of (4) Staff interviewed denied the allegation. (13) of (13) Clients interviewed could not corroborate the allegation. Interviews did not show any knowledge of there being pests in the facility. LPA did not observe any pests in all areas toured (client’s rooms, common areas, dining hall, kitchen) during today’s visit. File review shows that the facility has recurring pest control services in the facility.
CONTINUED ON 9099C..
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20230206104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PICO RIVERA GARDENS
FACILITY NUMBER: 198600539
VISIT DATE: 06/20/2024
NARRATIVE
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The notes provided to LPA all list the services conducted by the pest control but do not state whether live pests are found in the facility. During today’s tour, LPA did not observe any pests in the facility or in the client rooms entered. Clients interviewed stated the facility staff address issues of pests when they are informed about them. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation# 8 “Facility is in disrepair” It is alleged that facility is in disrepair, needs fixing in and out of the facility. The investigation consisted of LPA taking tour of entire facility inside and outside, interviews with four (4) staff and thirteen (13) clients. LPA viewed maintenance logs for years 2023 and 2024, reveal that maintenance is working to keep the facility operational. Logs indicate work orders issued with location, clients requesting repair, and confirmed by administrator upon work completion. LPA observed the facility to be in good repair and in a clean state. Logs indicate all repairs completed in timely manner. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation#9 “Facility does not serve residents a variety of nutritious quality foods” In regards of facility failed to provide residents with adequate food service, it was alleged that facility staff are not providing clients with fresh fruit. Per staff interviews, all four (4) staff who were interviewed denied the allegation. Thirteen (13) out of thirteen(13) clients stated the menus had a variety of items to eat. Staff stated they cook fresh for every meal. Administrator stated that the food menus were created by the last dietician. Per record review, administrator made grocery shopping twice per week. Menu obtained shows a healthy diet with fresh fruits and vegetable served with a variety of food options. Per LPA’s observation, the facility had more than two days non-perishable food and seven days of perishable food. Record review shows the grocery list on order. Thus, clients have adequate food service while in care. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation# 10 “Facility does not have adequate food supplies” It is alleged that lack of fruits and vegetables for the number of residents in care. Administrator and staff denied the allegation.

CONTINUED ON 9099C...
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20230206104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PICO RIVERA GARDENS
FACILITY NUMBER: 198600539
VISIT DATE: 06/20/2024
NARRATIVE
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Administrator stated that they received food delivery on Mondays and Thursdays, and that they always have enough vegetable and fruits for all residents. Thirteen(13) out of thirteen(13) clients interviewed could not corroborate the allegation. On 06/20/24, LPA observed sufficient vegetables and fruits in the kitchen refrigerator. LPA reviewed the facility's food delivery receipts from mid-May to mid-June and observed that sufficient vegetables and fruits are being delivered twice per week. Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted with Administrator, Tony Olmos. A copy of the licensing report was provided at time of visit.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5