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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:15:32 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
01/10/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20250110164312
FACILITY NAME:PICO RIVERA GARDENSFACILITY NUMBER:
198600539
ADMINISTRATOR:JOYCE GARCIAFACILITY TYPE:
735
ADDRESS:6525 ROSEMEAD BLVD.TELEPHONE:
(562) 949-8489
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:185CENSUS: 153DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Joyce Garcia - Administrator TIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Staff did not ensure facility intercom was at a comfortable volume for resident.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Nune Margaryan and Mayra Cota conducted an unannounced initial 10-Day complaint investigation regarding the above allegation. LPAs meet with Joyce Garcia Administrator who assisted with the visit. The purpose of the visit was explained.

The investigation consisted of the following: Obtained copies of Staff & Clients Rosters, interviewed Administrator, Staff 1(S1) - Staff 3 (S3), Client 1 (C1) - Client 12 (C12), LPAs also reviewed C1's file and obtained the copies of relevant documents.

Continue 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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-20250110164312
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: 01/14/2025
NARRATIVE
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Regarding the allegation: Staff did not ensure facility intercom was at a comfortable volume for resident. It was alleged that staff used the speaker too hard and the volume was too loud which causing clients ears to hurt.

At the time of visit , LPAs interviewed Administrator, S1 - Staff 3, and C1 - C12. Regarding the allegation that the Facility's intercom system is too loud and cause discomfort to the clients, Administrator and Staff interviewed denied the allegation. Administrator and staff stated that the intercom system is set at a volume so that clients are able to hear the announcements that are being made. Clients interviewed were unable to corroborate the allegation. They stated that the volume of the intercom system is not too loud, and it doesn't bother them. Interviewed C1 stated that intercom / speaker volume is normal and C1 can hear all announcements. It was loud in the past / long time ago but staff have made adjustment to the volume. LPAs heard the intercom system several times during the visit, and it did not appear to be at too high of a volume.

Based on LPA's interviews and observations: Although the allegation may have happened or is 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 and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2