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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 02/06/2025
Date Signed: 02/06/2025 03:06:01 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
02/03/2025 and conducted by Evaluator Sanjay Vaid
COMPLAINT CONTROL NUMBER: 28-AS-20250203144847
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: 154DATE:
02/06/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Joyce Garcia-AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility did not safeguard resident's belongings.
Facility did not treat client with dignity and respect.
Client is threatening another client due to lack of care and supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Vaid conducted an Initial 10-Day complaint investigation regarding the above allegations. LPA was met by Joyce Garcia-Administrator. LPA discussed the purpose of the visit. LPA toured the facility with Administrator and did not observe any health and safety concerns.

Investigation consisted of the following: interview of Staff #1 - Staff #6 (S1-S6); interviews of clients from client#1 through client #10 (C1-C10); requested, obtained and reviewed client #1-10 (C1-C10) physicians report, and client personal property and valuables report. Staff roster and client roster.

Regarding allegation - Staff did not safeguard client's personal belongings. Client 1 (C1) alleges C2 has taken their belongings that C1 had bought. It is further alleged that C2 and their friend while visiting took C1’s belongings, when C1 reported incident, staff did not help them get belongings back.
Continued on 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: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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 3
Control Number 28-AS-20250203144847
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: 02/06/2025
NARRATIVE
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C2 denies this allegation, stated they have never taken item’s from C1. LPA reviewed C1's Personal Property and Valuables form and did not see any personal items listed on the form. The items allegedly stolen are not listed on the personal property form. Six (6) out of six (6) staff interviewed deny the allegation. Ten (10) out of ten (10) residents interviewed could not corroborate the allegation. According to the staff, the clients have been all provided closets with a lock and key, provided by the facility, to safeguard residents’ belongings. According to the staff, C1 did not tell the facility staff of the items they bought and had stolen. The mattress and bedding is what C1 alleges that have been taken. On observation and interview with housekeeping there have been no mattress or bedding that has changed. The linen and mattress have not been changed or replaced according to the staff and administrator. Housekeeper does not know if any items were taken out of C1's room. Only the residents have keys to their room and closet. Staff keeps extra key for emergencies when staff needs to enter residents’ room to ensure their clients safety. Although the allegation(s) 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.

In regard to the allegation that "Staff are not treating clients with dignity and respect," it is alleged that C1 had gotten upset with S1, while C1 was bringing up concerns they had with S1, and that S1 had subsequently yelled at C1 when reported incidents were not being properly handled, and S1 did not take reported incidents more seriously. During interviews with the clients ten (10)) out of ten (10) did not corroborate the allegation. One of the clients interviewed stated that they believe S1 treat them and all other clients in the facility with dignity and respect. Another client interviewed stated that S1 is kind people and that they had never had any conflicts with them or any of the other staff in the facility. During interviews with the staff, six (6) out of Six (6)) did not corroborate the allegation. One of the staff interviewed stated S1 had never yelled at C1 during this incident, and they were telling C1 that they will address C1's concerns when they C1 became upset. Another staff interviewed stated that during the incident staff had to tell C1 that they were busy and would speak with them about the concerns they had later, however they had never yelled at C1 or treated them disrespectfully. Although the allegation(s) 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.

Continued on 9099C....
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 28-AS-20250203144847
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: 02/06/2025
NARRATIVE
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The investigation revealed the following: Regarding the allegation that a "Client is threatening another client due to lack of supervision," it is alleged that C1 had witnessed one client wield a knife towards another client and staff did not intervene due to inadequate staffing. During interviews with the clients, ten (10) out of ten (10) interviewed did not corroborate the allegation. One of the clients interviewed stated that there are times where clients fight amongst each other however staff are generally on top of things when threats and fights arise. Another client interviewed stated that they have never witnessed clients threatening one another in the facility. During interviews with the staff, six (6) out of six (6) interviewed did not corroborate the allegation. One of the staff interviewed stated that this incident occurred about 2 years ago and has not occur recently. Two clients had started an argument and the exchanges got heated, the staff quickly intervened, separated the clients and spoke with them until the clients had become calm. According to staff if client threatens another with a knife or a weapon, the staff promptly calls the Sheriff’s department for help. There has not been any incident of this type happening here. According to staff when clients have hostilities against each other, the staff will monitor the interaction between the two clients, act promptly ensuring they are not causing harm to each other and ensure safety for the two clients and other clients around them. Although the allegation(s) 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 was conducted with Joyce Garcia. A copy of the report was issued.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3