198600539-8-17-2022-28-AS-RORN-CJAV5P-20220915160812

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600539
Report Date: 08/17/2022
Date Signed: 08/17/2022 02:32:26 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/15/2022 and conducted by Evaluator Mary G Flores

COMPLAINT CONTROL NUMBER: 28-AS-20220215142916

FACILITY NAME:	PICO RIVERA GARDENS		FACILITY NUMBER:	198600539
ADMINISTRATOR:	MEIR SHAUL YITZI TEICHMAN		FACILITY TYPE:	735
ADDRESS:	6525 ROSEMEAD BLVD.		TELEPHONE:	(562) 949-8489
CITY:	PICO RIVERA	STATE: CA	ZIP CODE:	90660
CAPACITY:	185	CENSUS: 160	DATE:	08/17/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Yitzi Teichman - Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility has vermin.
Resident(s) are not able to have accessibility to do laundry

INVESTIGATION FINDINGS:

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Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA Flores met with and explained the reason for the visit.

The investigation consisted of the following: On 2/24/22 LPA Flores requested a copy of staff/client roster and conducted a tour of the facility around 1:20pm with Yitzi Teichman Administrator and observed the following; facility's commercial kitchen, all common areas in first and second floor of both building sections, client's room #1,5,12,17,21,28, 33,105,108,111, 206,211, (4) four laundry rooms; laundry room #1(LR#1) next to room #112, laundry room #2 (LR#2) next to room #219, laundry room #3(LR#3) next to room #61, and laundry room #4(LR#4) next to room 24. LPA Flores interviewed administrator, staff #1,#2,#3,#4,#5. LPA requested a copy of exterminator services invoices and exterminator services details. On 8/15/22 LPA interviewed clients #1(C1),#2(C2),#3(C3),#4(C4),#5(C5),#6(C6)#7(C7),#8(C8),#9(C9),#10(C10),#11(C11),#12(C12),#13(C13),#14(C14),#15(C15),#16 over the phone.
(CONTINUED LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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-20220215142916

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PICO RIVERA GARDENS	FACILITY NUMBER: 198600539
	VISIT DATE: 08/17/2022

NARRATIVE

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The investigation revealed the following: Regarding allegation: Facility has vermin. It is alleged facility has vermin and client observed a roach on the washers in the washroom, no details on back of complaint report (LIC 802) regarding vermin. Interviews with clients revealed 8 out of 16 clients interview stated to not have seen rats or mice inside or around the facility. 6 out of 16 clients interview stated to have seen rats outside by the main entrance and not inside and 2 out 16 clients were unable to be interview due to cognitive skills. 3 of the 16 clients interviewed mentioned to have observed roaches in the facility. Interviews with staff revealed, 6 out of 6 staff stated to have not observed rats or mice in the facility. LPA reviewed facility's pest control services invoices from 9/22/21 to 2/11/22 and contracts with Orkin Pest Control who services the facility twice a month. Pest control comments services for roaches, flies, and bait stations in the exterior of building and kitchen area. On 1/17/22 invoice comments "Exterior: serviced rodent control devices. Replaced bait eaten by rodents." On 2/24/22 LPA observed 4 laundry areas each with at least 2 washers and dryers in different floors and areas of the facility. At the time of the visit laundry rooms were clean, and in working condition.

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.

Regarding allegation: Resident(s) are not able to have accessibility to do laundry. It is alleged client does not often clean clothes due to the washers always in use by other clients daily. Interviews with clients revealed 11 to of 16 clients interview stated to have access to the washers/dryers and be able to use them. 2 out of 16 clients stated not being able to use the washer/dryer due to other clients using them. 1 out of 16 clients stated not being able to use washer/dryer due to machines being broken. 1 out of 16 clients was unable to be interview due to cognitive skills. Interviews with staff revealed 5 out of 6 staff stated washer/dryer are accessible at all times on a "first come first serve", laundry rooms are only closed when cleaning and floors are wet and reopen as soon as floor is dry, and staff assist some clients with their laundry. 1 out of 6 staff stated not to know if the the washer/dryers are not accessible. On 2/24/22 LPA observed 4 laundry areas each with at least 2 washers and dryers in different floors and areas of the facility. At the time of the visit laundry rooms were clean, and in working condition.

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 was conducted with and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

LIC9099 (FAS) - (06/04)

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