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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 08/14/2024
Date Signed: 08/14/2024 01:17:04 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, 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
03/01/2024 and conducted by Evaluator Melody Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240301084526
FACILITY NAME:GARDENS OF RIVERSIDE, THEFACILITY NUMBER:
331800063
ADMINISTRATOR:GRISELDA T. GARCIAFACILITY TYPE:
740
ADDRESS:10849 ARLINGTON AVETELEPHONE:
(951) 637-8844
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY:98CENSUS: 81DATE:
08/14/2024
ANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Executive Director Griselda Garcia TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Staff did not provide resident with adequate supervision.
Staff did not meet resident's hygiene needs.
Staff did not provide resident with a comfortable environment.
Staff did not transport resident to medical appointments.
INVESTIGATION FINDINGS:
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On 08/14/2024 at 12:30 PM Licensing Program Analysts (LPAs) Melody Brown and Renese Howell-Small 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 allegations. LPAs Brown and Howell-Small explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews and a review of pertinent documentations.

The investigation was conducted by LPA Melody Brown. The investigation consisted of file review and
interviews with relevant parties. The first allegation indicates that Staff did not provide resident with adequate supervision. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with seven (7) of seven (7) residents indicated that staffs at the facility are checking on residents multiple times in a day and providing adequate supervision. LPA Brown unable to interview five (5) residents as they are not oriented and unable to answer LPA Brown's questions.
***Continuation on LIC9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody BrownTELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
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 3
Control Number 56-AS-20240301084526
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: 08/14/2024
NARRATIVE
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Interviews with four (4) of four (4) staff indicated that staffs are checking on their residents every two (2) hours, frequent checks if needed and no incident happened at the facility that a staff did not provide adequate supervision to a resident. During the facility visit on 03/05/2024 and 03/12/2024, LPA Brown observed staffs at the facility checking on their residents multiple times, and staffs are providing adequate supervision to the residents at the facility.

The second allegation indicates that Staff did not meet resident's hygiene needs. Interviews with seven (7) of seven (7) residents indicated that staffs at the facility are meeting their hygiene needs. Seven (7) of seven (7) residents interviewed reported to LPA Brown that they are getting two (2) showers weekly, that staff at the facility are making sure that they smell good, that they are wearing clean clothes, that their nails are cut. LPA Brown unable to interview five (5) residents as they are not oriented and unable to answer LPA Brown's questions. Interviews with four (4) of four (4) staff indicated that staffs at the facility are meeting their residents' hygiene needs as they are giving their residents two (2) showers in a week, they make sure that their residents wears clean clothes all the time, that their residents smell good, hair comb, nails were filed. Interviews with four (4) of four (4) staff revealed that a podiatrist visits the facility to cut the residents toe nails. During the facility visit on 03/05/2024 and 03/12/2024, LPA Brown observed staffs at the facility assisting residents with their hygiene needs and LPA Brown observed residents wearing clean clothes, hair comb, nails were cut and LPA Brown did not observe any any resident that does not smell good.

The third allegation indicates Staff did not provide resident with a comfortable environment. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with seven (7) of seven (7) residents indicated that staffs at the facility are cleaning their room daily, and they have comfortable temperature in their room, that they are not cold or hot in their room. Seven (7) of seven (7) residents interviewed reported to LPA Brown that there's no incident at the facility that a staff did not provide them a comfortable environment. LPA Brown unable to interview five (5) residents as they are not oriented and unable to answer LPA Brown's questions. Interviews with four (4) of four (4) staff indicated that they all make sure that the residents room are always clean and their residents have a comfortable temperature in their room. Interviews with staffs revealed that they are all working together to keep their residents room clean always and the facility has a thermostat that controls the temperature on all rooms and they all make sure that the residents have the appropriate temperature in their room. Four (4) of four (4) staff interviewed reported to LPA Brown that there's no incident at the facility that a staff did not provide a resident with comfortable environment. ***Continuation in LIC9099C***

SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody BrownTELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 56-AS-20240301084526
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: 08/14/2024
NARRATIVE
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During the facility visit on 03/05/2024 and 03/12/2024, LPA Brown observed resident rooms clean and resident rooms have appropriate and comfortable temperature.

The fourth allegation indicates Staff did not transport resident to medical appointments. Interviews with seven (7) of seven (7) residents indicated that staffs at the facility are transporting them to their medical appointments and there's no incident at the facility that they were not able to attend their medical appointment because staff at the facility did not transport them to their medical appointment. LPA Brown unable to interview five (5) residents as they are not oriented and unable to answer LPA Brown's questions. Interviews with four (4) of four (4) staff indicated that the facility transport their residents to their medical appointment and no incident happened at the facility that a resident was not able to attend a medical appointment because staff did not transport the resident to the medical appointment.

Based on interviews and records review, the allegation Staff did not provide resident with adequate supervision (Allegation #1), Staff did not meet resident's hygiene needs (Allegation #2), Staff did not provide resident with a comfortable environment (Allegation #3), and Staff did not transport resident to medical appointments (Allegation #4) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.



An exit interview was conducted, where this report (LIC9099) was discussed and provided to Executive Director Griselda Garcia
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody BrownTELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3