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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 04/22/2025
Date Signed: 04/22/2025 11:55:18 AM

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
04/15/2025 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250415114942
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: 168DATE:
04/22/2025
UNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Mary Marquez - Med TechTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Staff not providing resident with clean towels
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Erik Zaragoza and Gabriela Castro conducted an unannounced initial complaint visit to investigate the allegation listed above. LPAs met with Mary Marquez, Med Tech for the facility, and explained the purpose of the visit. Administrator Joyce Garcia arrived shortly thereafter.

The investigation consisted of the following: LPAs obtained copies of the staff and resident records, conducted a tour of the facility, and interviewed Clients #1 - 16 (C1 - C16), along with Staff #1 - 5 (S1 - S5).

The investigation revealed the following: In regards to the allegation "Staff not providing resident with clean towels," it is alleged that C1 received a dirty towel from an unknown staff member.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025
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-20250415114942
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: 04/22/2025
NARRATIVE
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During interviews with the clients, none of them corroborated the allegation. One client interviewed stated that all the towels they receive are in clean condition, and that there have been no issues related to the towels they receive. Another client interviewed stated that all the towels they get from the housekeepers are in new condition and that there been no issues with obtaining the towels. During interviews with the staff, none of them corroborated the allegation. One of the staff interviewed explained that the facility receives all their towels from a laundry and linen service company that both cleans the dirty towels for the facility and also delivers them every Monday and Thursday of the week. Another staff member explained that they distribute the towels to the clients daily when needed, and that they are always in clean condition because they are all delivered clean by the laundry and linen service company. During the physical plant tour of the facility, LPAs observed that the housekeeping carts were delivering clean linens to the clients in their rooms, and there were no signs of the towels being soiled by dirt or any other contaminants.

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 allegations 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 held, and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2