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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 07/31/2025
Date Signed: 07/31/2025 04:18:57 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
06/18/2025 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250618131059
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: 167DATE:
07/31/2025
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Joyce Garcia - AdministratorTIME COMPLETED:
04:33 PM
ALLEGATION(S):
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Staff did not prevent a resident from physically assaulting another resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erik Zaragoza conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Joyce Garcia, administrator for the facility, and explained the purpose of the visit.

The investigation consisted of the following: During the initial visit conducted on 6/19/2025, LPA obtained copies of the staff and client rosters, obtained the FACE Sheets, most recent physician's reports and appriasals for Client #1 and Client #2 (C1 and C2), reviewed surveillance camera footage involving an incident that occcurred between C1 and C2 on 6/17/2025, interviewed Staff #1 - 2 (S1 - S2), and also interviewed Clients #1, and Clients #3 - 10 (C1, C3 - C10). LPA attempted to interview C2, however they are not able to be interviewed. During today's visit, LPA interviewed Staff #3 (S3), and delivered the findings of the investigation.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Erik Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
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-20250618131059
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: 07/31/2025
NARRATIVE
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The investigation revealed the following: In regards to the allegation that "Staff did not prevent a resident from physically assaulting another resident in care," it is alleged that C2 physically assaulted C1 at the facility, and that staff did not intervene in the assault. During interviews with the clients, none of them corroborated the allegation. C1 stated that although they were attacked by C2, staff did intervene quickly and appropriately, and added that staff are doing their best to create a safe environment for all clients. Other clients that witnessed the assault and intervened during the attack stated that staff responded quickly to the incident, within forty-five (45) seconds after they had intervened in the assault. During interviews with staff, none of them corroborated the allegation. One staff interviewed explained that the assault occurred during breakfast, and that staff responded to the scene immediately after being notified of the attack by the clients. Another staff member also explained that they responded to the assault immediately after it was reported to them. During review of the surveillance camera footage of the attack, which occurred in rest area near the back parking lot of the facility, C2 did attack C1 unprovoked, and the assault lasted under one (1) minute before other clients intervened and reported the incident to staff members.

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: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC9099 (FAS) - (06/04)
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