331800063-7-3-2020-18-AS-EMAN-BRY24V-20200728170434

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 07/03/2020
Date Signed: 07/03/2020 03:24:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2020 and conducted by Evaluator Robbie Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200518162628

FACILITY NAME:	GARDENS OF RIVERSIDE, THE		FACILITY NUMBER:	331800063
ADMINISTRATOR:	STEPHANIE ODEN		FACILITY TYPE:	740
ADDRESS:	10849 ARLINGTON AVE		TELEPHONE:	(951) 637-8844
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	98	CENSUS: 57	DATE:	07/03/2020
		UNANNOUNCED	TIME BEGAN:	02:53 PM
MET WITH:	Stephanie Oden, Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff is not fingerprint cleared.
Staff not meeting residents' needs.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Robbie Johnson contacted the facility via telephone to deliver findings regarding the above allegations via telephone due to COVID-19. LPA identified herself and discussed the purpose of the call and the elements of the allegations with Administrator Stephanie Oden.

Allegation #1 staff not fingerprint cleared. LPA obtained a copy of the current list of employees. In addition, LPA reviewed the facility personnel report summary from the Department of Social Services Commuity Care Licensing Division. All employees of the faciltiy have been fingerprint cleared and associated to the facility. The allegation is Unsubstantiated.
Allegation #2 staff not meeting residents' needs. Interviews with staff revealed that resident needs are being met. Interviews with residents who currently reside in the faciltiy revealed that their needs are being meet and have no complaints regarding their care. LPA could nor corroborate that staff is not meeting residents needs. The allegation is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. This report was reviewed with and a copy provided to the Administrator via email.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Robbie Johnson	TELEPHONE: (951) 248-0304
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2020

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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