198602243-8-26-2022-28-AS-ARAZ-CJBNRM-20220916104143

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602243
Report Date: 08/26/2022
Date Signed: 08/26/2022 02:55:26 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
08/23/2022 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220823095637

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:	DATE:	08/26/2022
		UNANNOUNCED	TIME BEGAN:	12:42 PM
MET WITH:	Rosalie Sandoval - Executive Director		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff are denying authorized representatives access to the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced complaint visit to determine the validity of the above-mentioned allegation. LPA met with Executive Director Rosalie Sandoval and explained the reason for the visit.

The investigation consisted of the following: LPA obtained a copy of the residents and staff rosters, interviewed Executive Director, Staff 1 – Staff 4 (S1 – S4), and Resident 1 – Resident 5 (R1 – R5)

The investigation revealed the following: regarding the allegation "staff are denying authorized representatives’ access to the facility", it is alleged that on 08/17/2022 the Executive Director told an authorized representative that ombudsman, visitors, and even licensing are only able to visit the facility during regular business hours and are also not able to visit during the weekends, as it is not regular business hours. It also alleged that the Executive Director told the authorized representative to leave by 5:00pm.
(CONTINUED TO LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022

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-20220823095637

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: 08/26/2022

NARRATIVE

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The Executive Director denied this allegation and stated that the authorized representative was not denied access to the facility. She only stated that her business hours are from 8:00am – 5:00pm and that she was leaving by 5pm due to a doctor's appointment. She also denies telling the authorized representative to leave at 5:00pm and that it was the authorized representative decision to leave at 5:00pm. Staff interviewed denied the allegation and stated licensing or ombudsman would not be denied access to the facility even outside of the facility's business hours. Clients interviewed could not collaborate with the allegation as they wouldn’t know if an authorized representative would be denied access to the facility. LPA reviewed the visitor log for 08/17/2022 and did not see the authorized representative name. The Executive Director stated she is aware of Title 22 - 87755(a), 87468.1(a)(11) and 8020(2) regulations concerning licensing, ombudsman, and visitors visitation.

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 the report was provided

SUPERVISOR'S NAME: Stefanie Coronel	TELEPHONE: (323) 981-3961
LICENSING EVALUATOR NAME: Luis Mora	TELEPHONE: 323-981-3964
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022

LIC9099 (FAS) - (06/04)

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