331800063-6-26-2024-56-AS-EMAN-D6MU38-20240627151307

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 06/26/2024
Date Signed: 06/26/2024 08:53:44 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/18/2023 and conducted by Evaluator Melody Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230918144133

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: 80	DATE:	06/26/2024
		ANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Executive Director Griselda Garcia		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Staff did not prevent a resident from engaging in sexual interactions with another resident while in care.

INVESTIGATION FINDINGS:

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On 06/26/2024 at 08:00 AM, Licensing Program Analyst (LPA) Melody Brown met with Executive Director Griselda Garcia at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to deliver the findings of the above allegation. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.

The investigation was conducted by LPA Melody Brown. The investigation consisted of observation and interviews with relevant parties. The allegation indicates that Staff did not prevent a resident from engaging in sexual interactions with another resident while in care. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with seven (7) of seven (7) residents on 11/08/2023 indicated no incident happened at the facility that a staff did not prevent a resident from engaging in sexual interaction with another resident. ***Continuation in LIC9099***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024

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 56-AS-20230918144133

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: GARDENS OF RIVERSIDE, THE	FACILITY NUMBER: 331800063
	VISIT DATE: 06/26/2024

NARRATIVE

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Moreover, LPA Javier Prieto interviewed Resident #1 (R1) on 09/20/2023 and R1 reported eating with R2 and indicated consensual relationship with Resident #2 (R2). Interviews with nine (9) of ten (10) staff on 11/08/2023 indicated that staffs at the facility redirected R1 and R2 when a staff found them engaging in sexual interactions. Staff #6 (S6) reported to LPA Brown that they redirected R1 and R2 when they witnessed R2 pulling up R2's pants and R1 was fixing R1's pants when they enter R2's room. S6 added that R2 ran to the door, trying to block them and R1 was upset told them to "Mind your own business. Get out of here. But what we did is we redirected R1 out of R2's room and put R1 on high alert, 24/7, which means R1 must be on constant eye watch, all the time and R2 was put on thirty (30) minutes check. " Per documents review, LPA Brown observed that staffs at the facility are checking on their residents every two (2) hours and more often if needed.

Moreover, LPA Brown contacted R1's family/Power of Attorney (POA) and they reported that the facility informed them of the incident the same day it happened and indicated that staff immediately redirected R1 and R2 when they found them engaging in a sexual intercourse in R2's room.

Based on the evidence, the allegation that Staff did not prevent a resident from engaging in sexual interactions with another resident while in care is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time.

An exit interview was conducted where this report, LIC9099 was discussed and provided to Executive Director Griselda Garcia.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024

LIC9099 (FAS) - (06/04)

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