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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603654
Report Date: 01/23/2025
Date Signed: 01/23/2025 02:57:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
01/16/2025 and conducted by Evaluator Daniel Konishi
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250116135205
FACILITY NAME:PARKER CARE HOMESFACILITY NUMBER:
198603654
ADMINISTRATOR:BEEK, KEVIN VANFACILITY TYPE:
735
ADDRESS:18414 DRAGONERA DR.TELEPHONE:
(714) 393-6361
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:6CENSUS: 6DATE:
01/23/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Kevin Van Beek, AdministratorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff hit resident.
Staff handled resident in a rough manner.
Staff made inappropriate comments towards resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Daniel Konishi conducted the “Initial 10-Day” visit to ascertain information pertaining to the above-mentioned allegations and to establish the validity of the complaint. LPA met with administrator Kevin Van Beek who assisted with the visit.

The investigation consisted of the following: LPA interviewed the Administrator, Staff #1 (S1) - Staff #4 (S4). LPA also interviewed Client #1 (C1) and Client #2 (C2) over the phone since they were at the day program. LPA interviewed Witness #1 (W1). LPA attempted to interview Client #3 (C3) at the facility but C3 did not respond to questions and unable to interview. LPA attempted to interview Client #4 and Client #5 over the phone since they were at the day program but unable to interview since both clients did not respond to questions and unable to interview. LPA was unable to interview Client #6 (C6) since C6 is currently in the hospital. LPA obtained copies from Client #1 (C1) file such as Physician's Report, Face Sheet, IPP (Individual Program Plan), Client Notes, and Medication List. LPA also obtained the staff and client rosters. LPA reviewed staff files and obtained staff training.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20250116135205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: PARKER CARE HOMES
FACILITY NUMBER: 198603654
VISIT DATE: 01/23/2025
NARRATIVE
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The investigation revealed the following: in regards to the allegation "Staff hit resident” and “staff handled resident in a rough manner.”, it is alleged that C1 was pulled by S2 and hit by S2. LPA interviewed staff and all denied the allegations and reported that they never witnessed S2 and any staff in the facility hit or pull C1 and any client. Administrator reported C1 likes to make false allegations and stated that when another client is being helped by staff, C1 would get upset due to not being helped by the staff at the same time. Per document obtained dated 02/27/2023, C1 has a history of making false statements. The staff reported every time staff tried to redirect C1, C1 will start to seek attention, make the false statements, or make accusation on staff which to show frustration or anger. LPA interviewed staff and reported they never handled clients in a rough manner and did not pull any clients. Based on interviewing C1, C1 denied being hit and treated in a rough manner of being pulled by S2 and any staff. LPA interviewed C2 and C2 denied the allegations. Administrator said he always make sure staff in the facility whom to support the clients and handle the clients appropriately. LPA also obtained staff training on Zero Tolerance Policy and Elder Abuse Prevention in file. Based on record review, interviews conducted with facility staff, and facility clients, there was not enough supportive evidence to concur with the reported allegation.

Allegation: Staff made inappropriate comments toward residents. It is alleged that S2 called C1 an inappropriate name. All staff interviewed also denied the allegation and reported they never made any inappropriate comments and did not name call any client in the facility. LPA also interviewed C1 and C2 and both denied the allegation. Based on record review and staff interview, C1 has a history of making false statements which indicated and documented on C1's Individual Personal Plan (IPP). The staff always reminded and encouraged C1 to use the language skills to communicate feelings opposed to making false statements. In addition, based on LPA interview with San Gabriel Pomona Regional Center rep that conducted the investigation, C1 recanted and denied all allegations. Based on record review, interviews conducted with facility staff, and facility clients, there was not enough supportive evidence to concur with the reported allegation.



Based on record review and interviews, investigation revealed: 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 allegations are UNSUBSTANTIATED.

Exit Interview conducted. A copy of the report and the appeal right was provided to Administrator Kevin Van Beek.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2