198600539-1-2-2025-28-AS-RORN-DD5RGX-20250121120128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 01/02/2025
Date Signed: 01/02/2025 04:13:57 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
12/27/2024 and conducted by Evaluator Bonnie Tao

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20241227112008

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: 154	DATE:	01/02/2025
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Joyce Garcia, administrator		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent a client from hitting another client while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tao conducted an unannounced complaint investigation visit for the allegation above. LPA met with Joyce Garcia, Administrator and the purpose of the visit was discussed.

Investigation consisted of the following:
LPA conducted interviews of staff from Staff #1 (S1) through Staff #4 (S4); interviews of clients from client#1 (C1) through client#12 (C12); and conducted a facility tour. LPA obtained copies of staff/client rosters and facility files of C1 and C2.

Investigation revealed of the following:
In regard to the allegation of staff did not prevent a client from hitting another client while in care, it was alleged that a client (C1) had a physical altercation with another client (C2) at the facility. Per client interviews, twelve (12) out of twelve (12) clients could not corroborate the allegation.
(-continued on LIC 9099-C-)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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 2

Control Number 28-AS-20241227112008

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: PICO RIVERA GARDENS	FACILITY NUMBER: 198600539
	VISIT DATE: 01/02/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

C1’s interview revealed that client was attempted to take C2’s possession away from C2 in an aggressive manner without asking C2 for permission. Therefore, C2 defended oneself. No witness or staff was around during the incident. Per staff interviews, four (4) out of four (4) staff denied the allegation. It revealed that staff had taken precaution to prevent clients from hitting other clients. If such incident happened, staff would intervene immediately, re-direct clients' attention, de-escalate the situation, and investigate the incident afterward. Per record reviews, facility had filed an incident report to licensing, care coordinator agency and ombudsman to report the incident. Administrator had notified client’s responsible party and conducted an internal investigation of the incident. It was a single incident. Besides, staff had completed their In-service training on proactive / assault crisis training on preventing physical altercations between clients.

Based on the information obtained during the investigation, interviews with staff/clients, review of client files and LPA's observation, the investigation did not reveal any evidence to support the allegation mentioned above.

Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

LPA conducted an exit interview with Joyce, administrator and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2