198603648-7-26-2024-28-AS-RORN-D7PT85-20240731142943

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603648
Report Date: 07/26/2024
Date Signed: 07/26/2024 10:37:59 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
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: 89	DATE:	07/26/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Jennifer Zhang, administrator		TIME COMPLETED:	09:45 AM

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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***This report serves as an amendment and supersedes the original complaint investigation report created on 04/05/24. The findings remain as unsubstantiated. ***

Licensing Program Analyst (LPA) Tao conducted a subsequent, unannounced complaint investigation visit for the allegations listed above. LPA met Administrator, Jennifer Zhang. The purpose of today's visit was to include additional information to this report, which was not included on the LIC 9099 report, dated 04/05/24.

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.

(-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: 07/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024

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: 07/26/2024

NARRATIVE

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***This report serves as an amendment and supersedes the original complaint investigation report created on 04/05/24. The findings remain as unsubstantiated. ***

The investigation revealed the following:

In regard of allegation staff threatened authorized representative of eviction of resident, it was alleged that a resident may not be able to return and reside at the facility because the resident may need a higher level of care. LPA interviewed residents, six (6) out of seven (7) residents stated residents and their authorized representatives had never been threatened of evicting 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. Upon record review, it was determined an eviction notice had not been issued to R1 and that R1 returned to the facility on 04/14/24 after a short stay at the SNF. 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 absent from the facility for a short period of time. Per record review, the facility cashed the resident’s March rent payment on 04/05/24 as the courtesy hold was 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: 07/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024

LIC9099 (FAS) - (06/04)

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