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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 07/15/2025
Date Signed: 07/15/2025 04:07:52 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
06/23/2025 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250623095834
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: 171DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Joyce Garcia - AdministratorTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff did not ensure facility was maintained clean.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint visit to investigate the above allegation. LPA met with Administrator Joyce Garcia and explained the purpose of today's visit.

The investigation consisted of the following:

On 7/1/25 LPA conducted the initial 10-day visit and obtained copies of staff/resident rosters, toured facility, interviewed 1 Staff (S1) and 1 resident (R1), upon exiting the facility LPA interviewed 1 additional client. During today’s visit LPA interviewed 14 Clients, 3 Staff, inspected both elevators and delivered findings.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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-20250623095834
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: 07/15/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Staff did not ensure facility was maintained clean.
It is alleged that there has been blood on the hallway floors, elevator floor and elevator buttons for 4 days and facility staff has not cleaned it up. During both visits (7/1/25 and 7/15/25) LPA toured both floors of facility and inspected both elevators, LPA did not observe any blood stains on elevator buttons, walls, floor not on flooring throughout the hallways. LPA interview 4 staff and all staff denied the above allegation and stated that they have not observed the elevators to have blood. Although there may be some accidents where a resident may drip blood due to a scrape or minor cut, there is always housekeeping, maintenance or staff that will be called right away to clean the area up. LPA interviewed 16 clients and 13 out of 16 clients denied the above allegation and stated they have not seen blood on the elevator buttons or on the floors throughout the facility.

Based on statements and interviews conducted with staff/clients, facility tour and LPA's observations, there was not enough supportive evidence to concur with the reported allegation. 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 will be emailed to Administrator at manager01@picoriveragardens.com
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
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