198602098-3-14-2023-28-AS-RORN-CQ6LHU-20230322084652

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602098
Report Date: 03/14/2023
Date Signed: 03/14/2023 03:01:12 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
02/03/2020 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20200203150221

FACILITY NAME:	ARCADIA RETIREMENT VILLAGE		FACILITY NUMBER:	198602098
ADMINISTRATOR:	LOURDES GARCIA		FACILITY TYPE:	740
ADDRESS:	607 WEST DUARTE ROAD		TELEPHONE:	(626) 447-6070
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	0	CENSUS: 80	DATE:	03/14/2023
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Virgilio Agas - Current Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility is lacking the resources to operate
Residents are being financially abused while in care
Residents are not provided a comfortable temperature while in care
Resident denied key to room
Staff does not have proper training
Facility is not accessible to residents in wheelchair
Facility has inadequate food supply

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced subsequent complaint visit to determine the validity of the above-mentioned allegations. LPA met with Virgilio "Gil" Agas - Current Administrator and explained the reason for the visit.

On 02/12/20, LPA Katrdzhyan interviewed Resident 1 (R1), toured R1's room and room 102. On 02/24/20, LPA Katrdzhyan interviewed the Current Administrator Virgilio Agas, reviewed a random selection of medication records and files for staff 1 - 3. LPA also toured the kitchen and rooms 102 & 223. On 02/25/20, LPA Katrdzhyan interviewed the current Administrator Virgilio Agas, the prior Administrator Lourdes Garcia (via telephone) and Resident 2 (R2). LPA also toured the lobby area & the library. On 03/10/2020, LPA Katrdzhyan interviewed Residents 3 - 5 (R3 - R5) and Staff 1 - 3 (S1 - S3). Also, a tour of resident rooms 223 and 246 were conducted. On 03/10/2023, LPA Mora requested for staff and resident rosters, attempted to interview previous administrator via phone, interviewed current administrator Virgilio Agas & Resident 6 – 9 (R6 – R9). LPA toured the kitchen, room 223, and R6 – R9 rooms. Today's visit LPA interviewed Resident 10 - 12 (R10 - R12) , Staff 4 - 7 (S4 - S7) and reviewed S4 - S7 training records, R9 bank receipts and elevator maintenence invoices. LPA also toured R10 - R12 rooms. (Continued to LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

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-20200203150221

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: ARCADIA RETIREMENT VILLAGE	FACILITY NUMBER: 198602098
	VISIT DATE: 03/14/2023

NARRATIVE

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The investigation revealed the following: regarding the allegation "facility is lacking the resources to operate”, it is alleged that the facility ran out of mustard, napkins, legal size copier paper, toner, stopped elevator 2 maintenance, and that facility can't afford the community bus insurance because it is not being used. Staff interviewed denied the allegation and stated there has been no shortage of the things listed above. Current administrator provided LPA with 4 invoices showing maintenance done on the elevator 2 on 01/03/20, 01/21/20, 01/31/20 and 02/07/20. The community bus has been non-operational for a long time prior to 2020, but facility has been using Access for residents transportation needs. Residents interviewed could not corroborate the allegation.

Regarding the allegation "residents are being financially abused while in care”, it is alleged that an unknown resident noticed unknown charges in their bank statement and that the only other person that knows their bank information is the administrator. It is also alleged that R9 had a balance of $334.37 and only received $20 in cash in December 2019 and $10 in cash in January 2020. Staff interviewed denied the allegation and stated that the only resident they knew that was accusing the administrator of using their debit card for personal use is R9. Staff stated that R9 kept saying that the administrator was using R9's debit card at Target. Interviewed with R9 revealed that R9 gave the administrator authorization to withdraw money from the debit card for the monthly rent because it was difficult for R9 to go all the way to the bank on a wheelchair, but R9 believed that the administrator was using the debit card at Target to do her nails and hair because the administrator always had fancy nails and nice hair. R9 claimed the administrator would take about $200 to spend at Target. Reviewed of bank receipts dated 12/06/19, 12/11/19, 01/07/20 and 01/17/20 show that after withdrawals were done for the monthly rent the resident had an available balance of $17.81 for December 2019 and $17 for January 2020. The LPA was unable to identify the other unknown resident that was allegedly financially abused.

Regarding the allegation "residents are not provided a comfortable temperature while in care”, it is alleged that the facility was abusing a resident by changing the temperature in the room. Staff interviewed denied the allegation and stated that each room has their own thermostat that the residents have complete control of. Staff will change the temperature only if the resident ask them. Residents interviewed could not corroborate the allegation. LPA toured the facility and rooms of R6 - R12 and confirmed a comfortable temperature.

Regarding the allegation "resident denied key to room”, it is alleged that the facility refused to give keys to the bedroom to a resident. Staff interviewed denied the allegation and stated that all residents are provided keys to their bedrooms. Residents interviewed could not corroborate the allegation. (Continued to LIC 9099C)

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20200203150221

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: ARCADIA RETIREMENT VILLAGE	FACILITY NUMBER: 198602098
	VISIT DATE: 03/14/2023

NARRATIVE

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Regarding the allegation "staff does not have proper training”, it is alleged that the staff are not highly skilled and the cooks are untrained & inexperienced. Staff interviewed denied the allegation and stated they receive about 40 hours of training when they are hired. Cook interviewed stated that all cooks receive a week of training. Residents could not corroborate the allegation and based on their observation they believe the staff do a good job. LPA reviewed staff training records to confirm that they received training.

Regarding the allegation "facility is not accessible to residents in wheelchair”, it is alleged that the bathroom in 223 is barely accessible to a wheelchair, balconies are not wheelchair accessible, and no wheelchair friendly transportation. Staff interviewed denied the allegation and stated that there is plenty of room in the bathrooms for a resident with wheelchair and the balconies are spacious and have a sliding door that opens wide enough for a resident to enter the balcony with a wheelchair. The facility uses Access transportation services and their vehicles are wheelchair accessible. All residents interviewed use a wheelchair and they could not corroborate with the allegation. During the tour of the rooms, the LPA observed the bathrooms and balcony to be wheelchair accessible. LPA also observed Access vehicles picking up residents in wheelchairs.

Regarding the allegation "facility has inadequate food supply”, it is alleged that the food is not served at an appropriate temperature, food is rarely delicious, only snack available is peanut butter and jelly sandwich after 8pm, and beverages are only available during meal times. Staff interviewed denied the allegation. They stated that during Covid-19 they had to delivered food to the rooms and the food most of the time arrived warm. if the food got cold then most of residents had microwaves in their rooms to reheat the food or the staff would reheat the residents food in the kitchen microwaves. Staff stated that there is a variety of different snacks such as different kind of sandwiches, cookies, or fruits. The snacks are brought to the lobby after 8pm when the kitchen closes. However, the residents can go to the kitchen throughout the day to request for snacks or beverages. There is also a vending machine in the lobby with beverages and snacks and a water dispenser near the receptionist office. Out of the seven residents interviewed, six of them could not corroborate with the allegation. LPA observed sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables in the kitchen.

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 the report was provided

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

LIC9099 (FAS) - (06/04)

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