198600539-6-13-2025-28-AS-DSIS-DKNTXP-20250818150728

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 06/13/2025
Date Signed: 06/13/2025 12:00:20 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
05/28/2025 and conducted by Evaluator Erik Zaragoza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250528150852

FACILITY NAME:	PICO RIVERA GARDENS		FACILITY NUMBER:	198600539
ADMINISTRATOR:	JOYCE GARCIA		FACILITY TYPE:	735
ADDRESS:	6525 ROSEMEAD BLVD.		TELEPHONE:	(562) 949-8489
CITY:	PICO RIVERA	STATE: CA	ZIP CODE:	90660
CAPACITY:	185	CENSUS: 169	DATE:	06/13/2025
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Joyce Garcia - Administrator		TIME COMPLETED:	12:14 PM

ALLEGATION(S):

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Staff do not ensure privacy is provided to resident in care.
Staff did not ensure that resident room was cleaned.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erik Zaragoza conducted a subsequent unannounced complaint visit to deliver findings on the allegations listed above. LPA met with administrator Joyce Garcia and explained the purpose of the visit.

The investigation consisted of the following: During the initial visit condcuted on 5/29/2025, LPA obtained the staff and resident rosters, conducted a tour of the facility including the kitchen during meal preparation time, interviewed Clients #1 - 17 (C1 - C17), Staff #1 - 7 (S1 - S7), and toured seven (7) resident bedrooms. During today's visit, LPA delivered findings on the investigation.

The investigation revealed the following: In regards to the allegation that "Staff do not ensure privacy is provided to resident in care," it is alleged that S3 entered C1's room without announcing themselves and knocking on their door to clean their room.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250528150852

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: 06/13/2025

NARRATIVE

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During interviews with the clients, sixteen (16) out of seventeen (17) interviewed did not corroborate the allegation. One of the clients interviewed stated that staff always knock on their door and announcing themselves before entering their rooms. Another client interviewed stated that they staff have never entered their room without permission. During interviews with the staff, none of them corroborated the allegation. S3 stated that they did knock on C1's door before entering their room and announced themselves before entering, however C1 was playing music loudly so they probably did not hear them when they entered. Another staff member interviewed stated that all staff are required to knock on the clients bedrooms doors and ask to enter before entering their rooms, and on this occasion S3 did knock on the door of C1 before entering their room.

In regards to the allegation that "Staff did not ensure that resident room was cleaned," it is alleged that S3 did not clean the room of C1 after entering it. During interviews with the clients, fifteen (15) out of seventeen (17) interviewed did not corroborate the allegation. One of the clients interviewed stated that the staff do clean their room and that they clean it regularly. Another client interviewed stated that the housekeepers do a good job of cleaning their rooms and do it when they are supposed to. During interviews with staff, none of them corroborated the allegation. S3 stated that C1 did not allow them to do any cleaning once they were in their room because they were upset, and so S3 told C1 that they will proceed to clean the other rooms in the facility. Another staff member stated that if a client refuses to have their room clean or doesn't want a staff member in their room, then the staff will not conduct a full cleaning as it might trigger the clients and escalate the situation even further.

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: 06/13/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025

LIC9099 (FAS) - (06/04)

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