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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 04/14/2025
Date Signed: 04/14/2025 03:05:26 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
04/07/2025 and conducted by Evaluator Nune Margaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250407153421
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: 164DATE:
04/14/2025
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Joyce GarciaTIME COMPLETED:
03:10 PM
ALLEGATION(S):
1
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9
Staff did not intervene when client assaulted another client.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Nune Margaryan and Blanca Gonzalez 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 11 (C11), 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: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
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-20250407153421
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: 04/14/2025
NARRATIVE
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Regarding the allegation: Staff did not intervene when client assaulted another client. It was alleged that one client bumped into C1 shoulder pushing C1 to the floor and called C1 “B” word couple of times. Staff was witnessed the incident and did not intervene. C1 called the police.

(4) of (4) Staff interviewed denied the allegation. (10) of (11) Clients interviewed could not corroborate the allegation. Staff interviewed denied the allegations and stated no knowledge of C1 was assaulted by another client. They indicated that they did not witness that any clients at the facility assaulted C1. Staff stated that if they witness an altercation between clients they will attempt to stop the altercation and will notify facility management immediately. Also they will contact Law Enforcement. Interviewed Administrator stated that there is no evidence or report of the incident and no call made to the Police. Staff stated that they didn't hear that someone called C1 "B" word. Clients interviewed indicated that they did not witness the alleged incident between C1 and another client and that someone called "B" word to C1. Interviewed clients indicated that they feel safe at the facility and staff very attentive and confirmed that facility staff will intervene during client on client altercations. Interviewed C1 stated that one client push them but couldn't confirm the clients name and the time when the incident was happened. C1 could not confirm that they called the police.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. 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 held, 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: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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