198602243-8-22-2023-28-AS-RORN-CVDKXZ-20230905081820

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602243
Report Date: 08/22/2023
Date Signed: 08/22/2023 11:43:44 AM

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
08/18/2023 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230818125747

FACILITY NAME:	GARFIELD TERRACE LLC		FACILITY NUMBER:	198602243
ADMINISTRATOR:	SANDOVAL, ROSALIE		FACILITY TYPE:	740
ADDRESS:	1435 N GARFIELD AVE		TELEPHONE:	(626) 398-0527
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY:	60	CENSUS: 26	DATE:	08/22/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Rosalie Sandoval		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility is not kept at a comfortable temperature for residents in care
Staff did not ensure facility doors close/lock properly

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Administrator Rosalie Sandoval and explained the reason for the visit.
The purpose of the visit is to investigate the above allegations.
Tour of the facility was conducted which included facility rooms, dining area, communal lounge and all exit doors for the facility.
LPA inspected Rooms 3, 7, 13, 21, 28, 32, 33 and 35.
LPA inspected exit doors in West Wing, Dining Room with 2 exit doors, North Wing and South Wing.
Interviews were conducted with Administrator, Staff S1 and Staff S 2 from 9:40 AM to 10:15 AM.
Interviews were conducted with Resident R 1- R 7 from 10:20 AM to 10:50 AM.
In regards to the allegation Facility is not kept at a comfortable temperature for residents in care, based on information gathered and interviews conducted 7 of 7 resident's stated that the temperature in their room was comfortable and they felt good.
Tour of rooms the temperature measured in Room 13 (80.9), Room 21 (78.2), Room 7 (80.7), Room 3

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn Trueman	TELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

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-20230818125747

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: GARFIELD TERRACE LLC	FACILITY NUMBER: 198602243
	VISIT DATE: 08/22/2023

NARRATIVE

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(79.7), Room 28 (82.2), Room 32(82.2), Room 33 (80.6), Room 35 (81.1).
All rooms inspected had either a ceiling fan or portable fan in the rooms. All hallways in the facility had fans.
Staff interviewed stated that they check on resident's every morning.
Stated that dining room air conditioner is on in the dining room 7 days a week and air conditioner is only turned off briefly for an hour or 2 per air conditioning company for proper operation.
Said that resident's are given water and popsicles to also help keep cool.
Temperature in resident rooms inspected, at front desk and in all hallways measure between 78 F. and 85 F. meeting Title 22 Regulations.
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.

In regards to the allegation Staff did not ensure facility doors close/lock properly, based on interviews conducted and information gathered 7 of 7 resident's stated that they can come and go through any exit door and have had no problem coming back in.
LPA inspected exit doors in West Wing, Dining Room with 2 exit doors, North Wing and South Wing.
LPA was able to exit facility and come back in facility.
Each exit door had an auditory device and on the outside a bell to ring to get back in after hours.
The exit door in the South Wing did operate to open and close, but the wood was rubbing against wood making the open and closing a little rough.
Maintenance made a minor adjustment at visit to ensure that the doors opened and closed smoothly.
Staff stated that all doors are open and resident's can come and go freely and no doors are locked.
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

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Glenn Trueman	TELEPHONE: (323) 981-1652
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

LIC9099 (FAS) - (06/04)

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