331800063-8-20-2021-18-AS-EMAN-C74SP5-20210922140232

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800063
Report Date: 08/20/2021
Date Signed: 08/20/2021 03:35:49 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
11/23/2020 and conducted by Evaluator Melody Brown

COMPLAINT CONTROL NUMBER: 18-AS-20201123150209

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: 84	DATE:	08/20/2021
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Stephanie Oden		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Resident has scabies
Staff do not ensure that resident's medical needs are met
Staff do not ensure that resident's toileting needs are met
Residents are left on the floor on mats
Staff made fun of residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst's (LPA's) Melody Brown and Natalie Gayoso made an unannounced visit to the facility for the purpose of investigating a complaint with the above allegations. LPA's met with facility Administrator Stephanie Oden and explained the purpose of todays visit. The investigation consisted of interviews with pertinent parties and file review.

The first allegation is Resident has scabies. Interviews with staff stated that there have been no incidents in which residents had scabies. Interviews with residents stated they have not had scabies nor heard or witnessed other residents having scabies.

The second allegation indicates Staff do not ensure that resident’s medical needs are being met. Staff indicated that Resident 2 (R2) medical needs are met and currently under treatment for the reported diagnosis. Interviews with residents indicated that staff makes sure that their medical needs are met. LPAs reviewed R2’s file and observed that the facility is actively seeking treatment for their diagnosis.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021

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 18-AS-20201123150209

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
RIVERSIDE, CA 92507

FACILITY NAME: GARDENS OF RIVERSIDE, THE	FACILITY NUMBER: 331800063
	VISIT DATE: 08/20/2021

NARRATIVE

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The third allegation indicates Staff do not ensure that residents’ toileting needs are met. Interviews with staff stated that residents’ diapers are checked every two (2) hours and changed as needed. Staff have never witnessed any other residents being left with soiled diapers for a long period of time. Interviews with residents also confirmed that staff do checked on them regularly and changed their diapers as needed.

The fourth allegation indicates Residents are left on the floor on mats. Interviews with staff stated they have never witnessed residents being left on the floor on mats. Staff indicated that some residents who are fall risk have fall mats placed next to their beds while they’re sleeping. Interviews with residents indicated that they have never been placed nor witnessed other residents be placed on the floor on top of mats.

The fifth allegation indicates Staff made fun of residents. Interviews with staff stated they have never witnessed Staff 1 (S1) make fun of any of the residents in care. Interviews with residents also indicated that they have never witnessed S1 make fun of a resident or residents in the facility.

Based on interviews and records review, the above allegations are UNSUBSTANTIATED. A finding of 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.

An exit interview was conducted, and a copy of this report was provided to Administrator Stephanie Oden.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021

LIC9099 (FAS) - (06/04)

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