331800063-11-5-2024-56-AS-EMAN-DB7SXQ-20241120131617

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 11/05/2024
Date Signed: 11/05/2024 01:22:13 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
03/08/2024 and conducted by Evaluator Melody Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240308111543

FACILITY NAME:	GARDENS OF RIVERSIDE, THE		FACILITY NUMBER:	331800063
ADMINISTRATOR:	GRISELDA T. GARCIA		FACILITY TYPE:	740
ADDRESS:	10849 ARLINGTON AVE		TELEPHONE:	(951) 637-8844
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	98	CENSUS: 82	DATE:	11/05/2024
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Exexutive Director Griselda Garcia		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff left resident in soiled diapers.
Staff restricted resident's access to room and unable to use restroom.

INVESTIGATION FINDINGS:

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

On 11/05/2024 at 12:45 PM, Licensing Program Analyst (LPA) Melody Brown met with Executive Director (ED) Griselda Garcia at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to deliver the findings of the above allegations. 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 first allegation indicates that staff left resident in soiled diapers. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with seven (7) of seven (7) residents indicated that staffs are checking on them two (2) or three (3) times a day if they need to change their diaper or if they need assistance. Seven (7) of seven residents interviewed reported that there's no incident happened that they know of that a staff left a resident ***Continuation in LIC9099C***

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: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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-20240308111543

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: 11/05/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

in soiled diapers. Interview with Resident #1 (R1) indicated that staff at the facility are checking on R1 multiple times a day and they were asking if R1 need a change of pull-ups or R1 needs assistance. R1 reported to LPA Brown that staffs at the facility are kind, helpful and sweet and they treat R1 like family and R1 added that there's no incident that happened that a staff left R1 in soiled pull-ups/diapers. Interviews with six (6) of six (6) staff indicated that they are checking on all their residents every two (2) hours and every one (1) hour on residents that need more care. Six (6) of six (6) staff interviewed reported that there's no incident that they left R1 in soiled diapers and there's no incident happened at the facility that a staff left a resident in soiled diapers because all of them are checking on their residents every two (2) hours or more frequently if needed. During the facility visits on 03/12/2024, 04/02/2024, 04/09/2024 and 05/02/2024, LPA Brown observed staffs at the facility doing their rounds and checking on their residents multiple times to inquire if they need assistance or they need a diaper change.

The second allegation indicates that staff restricted resident's access to room and unable to use restroom. Interviews with seven (7) of seven (7) residents indicated that staffs at the facility are not restricting them access to their room that they are unable to use the restroom. Interview with R1 indicated that staffs at the facility are not restricting R1 access to R1's room that R1's unable to use the restroom. R1 reported to LPA Brown that staffs at the facility are always assisting R1 to go to R1's room so R1 can use the restroom. R1 added that there's no incident that happened that a staff restricted R1 access to R1 room and R1's unable to use the restroom. Interviews with six (6) of six (6) staff indicated that they are not restricting their residents access to their room that their residents cannot use the restroom. Six (6) of six (6) staff interviewed reported that there's no incident that happened that they restricted R1 access to R1's room that R1's unable to use the restroom. Six (6) of six (6) staff interviewed added that they are all assisting their residents to go to their room and use the restroom except for the residents that have a key to their room and there's no incident that happened that a staff restricted a resident access to their room that they're unable to use the restroom. During the facility visits on 03/12/2024, 04/02/2024, 04/09/2024 and 05/02/2024, LPA Brown observed staffs at the facility assisting residents to go to their room. In addition, LPA Brown also observed residents that have a key to their room. Moreover, LPA Brown did not observe a resident restricted access to their room by a staff and unable to use the restroom.

Based on the evidence, the allegation that Staff left resident in soiled diapers (Allegation #1), and staff restricted resident's access to room and unable to use restroom (Allegation #2) are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means ***Continuation in LIC9099C***

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 56-AS-20240308111543

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: 11/05/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	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 ED Griselda Garcia.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3