198603648-4-5-2024-28-AS-RORN-D7PT86-20240731142945

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603648
Report Date: 04/05/2024
Date Signed: 04/05/2024 05:08:08 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
03/29/2024 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20240329145141

FACILITY NAME:	OMEO ARCADIA LIVING		FACILITY NUMBER:	198603648
ADMINISTRATOR:	ZHANG, JINGFANG		FACILITY TYPE:	740
ADDRESS:	601 SUNSET BLVD		TELEPHONE:	(323) 422-8030
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	99	CENSUS: 88	DATE:	04/05/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Jennifer Zhang, administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff threatened authorized representative of eviction of resident.
Staff refused to cash resident's check.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced complaint investigation for the allegations listed above. LPA met Administrator, Jennifer Zhang and explained the purpose of today's complaint investigation visit.

The investigation consisted of the following: during the investigation visit, LPA obtained staff/resident roster, reviewed/obtained resident#1’s (R1) records, interviewed residents from resident#2 (R2) to resident#7 (R7), attempted to resident#1 (R1); interviewed staff from staff#1 (S1) to staff #4 (S4), and conducted a physical plant.

The investigation revealed the following:

In regard of allegation staff threatened authorized representative of eviction of resident, it was alleged that resident could not return residing at the facility because the resident needed a higher level of care.
(-continued in LIC9099C-)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024

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-20240329145141

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: OMEO ARCADIA LIVING	FACILITY NUMBER: 198603648
	VISIT DATE: 04/05/2024

NARRATIVE

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LPA interviewed residents, six (6) out of seven (7) residents stated residents and their authorized representatives had never been threatened of evicting the residents. One (1) out of seven (7) residents declined to be interviewed. All four (4) staff interviewed denied the allegation. Staff interviews revealed no resident were threaten of eviction. Per record review, resident’s records indicated resident needed a higher level of care which was above the level of care the facility could provide. Thus, staff did not threaten resident and resident’s authorized representative for eviction.

In regard of allegation staff refused to cash resident's check, it was alleged that the facility held on the collection of the resident’s checks for March rent payment. LPA interviewed residents, six (6) out of seven (7) residents stated the facility processed their rent payments monthly on time. One (1) out of seven (7) residents declined to be interviewed. All four (4) staff interviewed denied the allegation. Staff stated residents' rent were processed at the beginning of each month. The reason holding on rent collection of the month was an act of courtesy when resident was absence from the facility for a short period of time. Per record review, the facility cashed the resident’s March rent payments on 4/5/24 as the courtesy hold ended. Thus, staff did not refuse to cash resident's check but withhold the rent collection for a courtesy reason.

Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.

Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Administrator Jennifer and findings were discussed. A copy this report was provided to Administrator at time of visit.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024

LIC9099 (FAS) - (06/04)

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