198600539-7-9-2024-28-AS-TVAO-D7BPGD-20240719111811

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 07/09/2024
Date Signed: 07/09/2024 12:46:01 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
07/01/2024 and conducted by Evaluator Mary G Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240701164352

FACILITY NAME:	PICO RIVERA GARDENS		FACILITY NUMBER:	198600539
ADMINISTRATOR:	SANTOS DOMINGUEZ		FACILITY TYPE:	735
ADDRESS:	6525 ROSEMEAD BLVD.		TELEPHONE:	(562) 949-8489
CITY:	PICO RIVERA	STATE: CA	ZIP CODE:	90660
CAPACITY:	185	CENSUS: 138	DATE:	07/09/2024
		UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Tony Olmos - Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not ensure client's a/c is not in disrepair
Staff are not providing a comfortable temperature for client
Staff are not treating client with dignity ad respect
Staff are not providing adequate food service to clients

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Tony Olmos and explained the reason for the visit.

The investigation consisted of the following: LPA requested a staff/client roster. LPA conducted a tour of the facility, observed the kitchen, dining room, and 9 random rooms. LPA interviewed 10 clients and 7 staff. LPA requested the following copies: facility’s’ menu for the month of June and July 2024, kitchen staff food safety training, last training for staff regarding staff conduct/resident rights, and A/C repair invoice.

The investigation revealed the following: Regarding allegation: Staff did not ensure client's a/c is not in disrepair. It is alleged a/c is not working properly. Interviews conducted with clients revealed 5 out of 10 clients stated the A/C is working properly, 4 out of 10 clients stated the A/C does not work, and 1 out of 10 clients stated is slow but it works.
(CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024

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-20240701164352

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: 07/09/2024

NARRATIVE

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Interviews with staff revealed 4 out of 7 staff stated the A/C is working throughout the facility, 2 out of 7 staff stated the A/C was recently repair on the left side of the building as it broke down, and 1 out of 7 staff stated the A/C is not working on the right side of the building. Per administrator the A/C was repair the same day and fans were brought in and provided to the clients in the meantime. Per assistant administrator a breaker burned out and had to be replace. Per maintenance staff the temperature is set at 70 degrees throughout the buildings during the summer. During the tour LPA observed the A/C working throughout the buildings and temperature thermostat was observed reading at 71 degrees. Copy of invoice for checking of 5 A/C units and replacement of breaker dated 6/7/24 was reviewed.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff are not providing a comfortable temperature for client. It is alleged client is sweating just sitting in the room due to A/C not working. Interviews conducted with clients revealed 6 out of 10 clients stated temperature is fine and does not feel hot in their rooms, 4 out of 10 clients stated that it does feel hot in their rooms and must open the sliding door to help. Interviews with staff revealed 5 out of 7 staff stated temperature is not hot in the building, 1 out of 7 staff stated it feels hot in the rooms in which the sliding doors are open, and 1 out of 7 staff stated that it feels hot in the right side of the building only. During the tour LPA observed 2 out of the 9 rooms felt a bit warmer than the rest of the rooms and 7 rooms had a cooler temperature. Temperature was reasonable throughout the facility and not hot.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff are not treating client with dignity and respect. It is alleged staff slammed the door in client’s face and was being mean to client for no reason. Interviews with clients revealed 8 out of 10 clients stated that staff are respectful and are not mistreated by the staff, 2 out of 10 clients stated staff are disrespectful towards clients by the way they speak to them. Interviews with staff revealed 7 out of 7 staff stated the staff are respectful and there have not been any incidents between the clients and the staff. A staff stated to have heard the clients make comments about not liking how the administrator speaks to them but has not observed any incidents. Last staff training on client rights was provided on 5/31/24.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.
(CONTINUED ON LIC 9099C)

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20240701164352

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: 07/09/2024

NARRATIVE

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Regarding allegation: Staff are not providing adequate food service to clients. It is alleged when a client doesn’t drink their drink, they return it to the kitchen, and it gets re-served to another client. Interviews with clients revealed 8 out of 10 clients stated that the cups provided to clients and return are not given to other clients, per clients they are thrown away, 1 out of 10 clients stated that staff are giving cups that other clients return to other clients, and 1 out of 10 clients stated not to know as they do not eat at the facility. Interviews with staff revealed 7 out of 7 staff stated that the food gets handled properly and anything the clients returns gets disposed and not given to other clients to maintain sanitary guidelines. LPA observed the kitchen and observed beverages prepared in disposable cups with an aluminum foil sheet to cover them in the refrigerator ready to serve to the clients for lunch clean. Per serving staff, the clients have the choice of two drinks and if the cup is return it is disposed in the trash can to the left of the serving area which is away from the served dishes. Food safety training for staff on 8/31/23.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Tony Olmos and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024

LIC9099 (FAS) - (06/04)

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