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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 06/12/2025
Date Signed: 06/12/2025 04:42:25 PM

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
06/10/2025 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250610092522
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: 166DATE:
06/12/2025
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Julia Elias - Med Tech Supervisor TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff did not ensure facility intercom was at a comfortable volume for resident.
Staff did not prevent resident from being bullied by another resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial unannounced complaint visit to investigate the allegations listed above. LPA met with Julia Elias, Med Tech Supervisor for the facility, and explained the purpose of the visit. LPA met with administrator Joyce Garcia shortly thereafter.

The investigation consisted of the following: LPA obtained copies of the staff and client rosters, toured the facility, and interviewed Clients #1 - 14 (C1 - C14) along with Staff #1 - 4 (S1 - S4).

The investigation revealed the following: In regards to the allegation that "Staff did not ensure facility intercom was at a comfortable volume," it is alleged that S3 had been screaming through the facility intercom system at 8:07 PM on 6/9/2025 which was causing discomfort to the clients.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
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-20250610092522
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: 06/12/2025
NARRATIVE
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During interviews with the clients, eleven (11) out of fourteen (14) did not corroborate the allegation. One of the clients stated that they feel that the intercom's volume is at an appropriate level and does not need to be higher or lowered in volume. Another client interviewed stated that the intercom system is fine and it is not too high or low in volume. During interviews with the staff, none of them corroborated the allegation. During interviews with S3, they stated that when they use the intercom to call residents at night they make sure to keep the volume low and do not yell into the intercom so that they don't startle any of the clients. Another staff member interviewed stated that they adjusted the intercom volume system as low as they possibly could, and cannot lower it anymore otherwise some of the clients may not be able to hear the announcements. During the physical plant tour of the facility, LPA overheard the intercom calling the names of some of the clients to come to the front office and found it to be an appropriate volume.

In regards to the allegation that "Staff did not prevent resident from being bullied by another resident," it is alleged that C1 had been bullied by C5, and that S4 observed this occurring but did nothing to prevent it. During interviews with the clients none of them corroborated the allegation. One client interviewed stated that they have never witnessed clients bullying one another in the facility. Another client interviewed stated that there are times where clients have threatened one another, however staff do intervene in these circumstances. During interviews with the staff, none of them corroborated the allegation. During interview with S4, they stated that C1 was never bullied by C5, and that during this incident C1 was using the facility phone for a call that took a long time and C5 asked C1 if they could also use the phone. Another staff interviewed stated they were not aware of any incidents of any clients bullying C1.

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: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2