Arcadia Gardens Retirement Hotel

***This report serves as an amendment and supersedes the original complaint investigation report created on 06/23/22. The findings remain Unsubstantiated. *** Licensing Program Analyst (LPA) Tao conducted an unannounced subsequent complaint visit to the facility regarding the above-mentioned allegations. Upon arrival at the facility, LPA met Pamela Parsons, Administrator and explained the purpose of today’s visit. On 01/04/21, LPA Tao conducted the initial investigation visit telephonically due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures. LPA obtained resident roster, staff roster, facility’s house rules, resident #1’s (R1) Physician Report, R1’s Identification and Emergency Information, R1’s Appraisal, R1’s Care plan, R1’s Needs and Services Plan, R1’s Individual Service Plan (IPP) Initial Assessment (06/02/20), R1’s Narrative Charting (progress report), and R1’s Individual service plan (IPP). (- continued in LIC 9099 C-)Read the full finding— CDSS inspection report, March 14, 2023 · control 28-AS-20201223122514

This report supercedes the report dated 11/09/2022 to clarify information regarding the above allegation. Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Assistant Administrator Araceli Dimaguila and explained the reason for the visit. At today's visit Resident R 1 was interviewed at 9:45 AM. The initial visit was conducted on 08/09/2022 and the following was done: LPA conducted an interview with Executive Director Pamela Parsons at 9:30 AM . LPA collected copies of Staff and Resident Rosters. LPA reviewed Resident 1 (R1) file and requested copies of pertinent documents related to complaint allegation. LPA interviewed Resident R1- R6 from 10:00 AM to 12:00 PM. Subsequent visit was conducted on 10/13/2022 and included Resident R 1 was interviewed at 9:50 AM. At 10:30 AM family member for R 1 was interviewed. Interview was conducted with Owner Julie ChirikianRead the full finding— CDSS inspection report, November 22, 2022 · control 28-AS-20220802163705

Licensing Program Analyst (LPA) Tao conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met Administrator, Pamela Parsons. LPA explained the purpose of today’s visit is to discuss the above-mentioned allegations. The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA Tao spoke with Administrator and obtained resident roster, staff roster, and Resident #1’s (R1)’s facility files. The investigation revealed the following: In regard to allegation “resident wasn’t provided transportation to doctor’s appointment," it was alleged that facility did not provide transportation to resident #1 (R1) for a medical appointment on June 2022. (-continued in LIC 9099C-) UnsubstantiatedRead the full finding— CDSS inspection report, November 21, 2022 · control 28-AS-20221117084448

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Assistant Administrator Araceli Dimaguila and explained the reason for the visit. At today's visit Resident R 1 was interviewed at 9:45 AM. The initial visit was conducted on 08/09/2022 and the following was done: LPA conducted an interview with Executive Director Pamela Parsons at 9:30 AM . LPA collected copies of Staff and Resident Rosters. LPA reviewed Resident 1 (R1) file and requested copies of pertinent documents related to complaint allegation. LPA interviewed Resident R1- R6 from 10:00 AM to 12:00 PM. Subsequent visit was conducted on 10/13/2022 and included Resident R 1 was interviewed at 9:50 AM. At 10:30 AM family member for R 1 was interviewed. Interview was conducted with Owner Julie Chirikian and also with the Consultant for the facility at 11:00 AM. SubstantiatedRead the full finding— CDSS inspection report, November 9, 2022 · control 28-AS-20220802163705

Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros made an unannounced visit to the facility and was greeted by Administrator (Pamela Parson). The purpose of this visit is to conduct a subsequent visit and deliver the findings pertaining to the above-mentioned allegations. LPA/RA obtained copies of Resident #2’s Emergency Identification and Information, Physician’s Report, Medication Administration Record, Appraisal/Needs and Services Plan. LPA/RA toured the facility’s commercial kitchen and dining room area. LPA Bonnie Tao conducted the virtual 10-Day Visit on 12/28/20. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19) and to implement mitigation measures, the complaint investigation was conducted telephonically with Administrator (Pamela Parsons). During the virtual, video conference call with Administrator Parsons, LPA Tao had conducted a virtual tour of the facility’s physical plant which included the kitchen, dining area, and activityRead the full finding— CDSS inspection report, June 23, 2022 · control 28-AS-20201218152356

Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros made an unannounced visit to the facility and was greeted by Administrator (Pamela Parsons). The purpose of today’s visit is to conduct a subsequent visit and deliver the findings pertaining to the above-mentioned allegations. LPA/RA toured the facility’s commercial kitchen, dining room area, and observed residents in the Activity Room. LPA Bonnie Tao conducted a virtual 10-Day visit on 01/04/21. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19) and to implement mitigation measures, the complaint investigation was conducted telephonically with Administrator (Pamela Parsons). During the virtual, video conference call with Administrator Parsons, LPA Tao had conducted a virtual tour of the facility’s physical plant which included the kitchen, dining area, and activity room. LPA interviewed Staff #1 (former Administrator) and Resident #1. LPA requested pertinent documents: Residents & Staff RoRead the full finding— CDSS inspection report, June 23, 2022 · control 28-AS-20201223122514

Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros made an unannounced visit to the facility and was greeted by Administrator (Pamela Parsons). The purpose of today’s visit is to conduct a subsequent visit and to deliver the findings pertaining to the above-mentioned allegations. LPA/RA obtained copies of Resident and Staff rosters and toured the facility’s commercial kitchen, dining room area, and residents’ bedroom. LPA Bonnie Tao conducted an unannounced 10-Day visit on 10/08/21. LPA met with Administrator (Pamela Parsons). During the visit, LPA Tao interviewed Staff#1 thru Staff #6, Resident #1 and Resident #7. A physical plant tour of the facility was conducted that included residents’ rooms #309-D and #164-E. LPA Tao obtained copies of the Residents and Staff Rosters, In-Service Training (Insulin Administration) Records, Pest Control Service Agreement, and Pest Control Company Invoices; R1's Admission Agreement, Pre-Appraisal, Emergency Identification andRead the full finding— CDSS inspection report, June 23, 2022 · control 28-AS-20211004122114

Licensing Program Analysts (LPAs) Tao, Calderon and Maldonado conducted an unannounced initial complaint investigation for the allegation listed above. During today’s visit, LPAs met Administrator, Pamela Parsons and explained the purpose of today's visit. The investigation consisted of the following: interviews with staff from Staff #1 through Staff #5; interviews with residents from Resident #1 through Resident #6, reviews of resident #1’s facility records and conducts a tour of the physical plant. LPA obtained copies of the Staff and Resident Rosters; and Resident #1 file for review of relevant information. In regard to allegation "Facility is not allowing visitors for a resident", it was alleged that facility staff did not allow visitor #1(V1) to visit resident #1(R1). Six (6) out of six (6) residents could not corroborate the allegation. Resident interviews revealed that resident#1 did not want visitor #1 visiting. (-Continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, May 20, 2022 · control 28-AS-20220513102000

***This licensing report supersedes the original complaint investigation report, dated 02/14/22. The findings remain as Unsubstantiated. *** Licensing Program Analysts (LPAs) Tao and Calderon, conducted an unannounced subsequent complaint investigation for the allegations listed above on 04/22/22. An initial complaint visit was conducted on 11/03/21 and subsequent visits were conducted on 12/07/21 and 02/14/22. During today’s visit, LPA Tao met Administrator Pamela Parsons, and explained the purpose of today's visit, which was to deliver the investigation findings of the above-mentioned allegations. The investigation consisted of the following: interviews with Staff #1 through Staff #6; interviews with Resident #1 through Resident #7, review of resident #1’s facility records and a tour of the physical plant. LPA obtained copies of the Staff and Resident Rosters; and Resident #1 file for review of relevant information. (-continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, April 22, 2022 · control 28-AS-20211025125712

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit and delivered findings on the above allegations. The purpose of the visit was discussed with Executive Director Pamela Parsons. The investigation consisted of the following: On 1/14/2021, staff (S1 & S2), and resident (R1) were interviewed. A virtual physical plant tour of kitchen area/food preparation station, and resident rooms 117B, and 118 was conducted at 11:45 AM via FaceTime due to Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures. The following items were obtained: [COVID Mitigation Plan, Food Menu [Nov.2020 – Jan.2021], food preparation, service, and storage protocols during COVID-19 pandemic, Dietician Contact Information, pandemic staff training protocols, LIC 500 Personnel Report, Resident Roster, Identification and Emergency Information (Face Sheet) & Physician Reports for 2 residents, and staff and resident contact information]. During today's visit, residents (R2- R10)Read the full finding— CDSS inspection report, February 24, 2022 · control 28-AS-20210105145651

Licensing Program Analyst (LPA) Alma Gonzalez conducted a subsequent visit to deliver complaint investigation findings. LPA met with Executive Director Pamela Parsons and explained the purpose of the visit. The Investigation consisted of the following: On 1/20/22, LPA conducted an interview with Executive Director Pamela Parsons. LPA collected copies of Staff and Resident Rosters. LPA reviewed Resident 1 (R1) file and requested/ received copies of pertinent documents related to complaint allegation. On 2/15/22, LPA conducted interviews with Residents 1-6 (R1-6), Staff 1-6 (S1-6) and conducted a tour of facility activity room, lobby, dining room and R1's bedroom. LPA also collected copies of Facility Activity Schedule, and Staff/ Resident Rosters. LPA interviewed R1 Family Members (FM1-2). (See LIC9099C for continuation) UnsubstantiatedRead the full finding— CDSS inspection report, February 15, 2022 · control 28-AS-20220111114948

Licensing Program Analyst (LPA) Tao conducted an unannounced subsequent complaint investigation for the allegations listed above. An initial complaint visit was conducted on 11/03/21 and a subsequent visit was conducted on 12/7/2021. During today’s visit, LPA was allowed entry by Administrator. LPA explained the purpose of today's visit. Investigation consisted of the following: interviews of Staff #2, Staff#4 and Staff #5; interviews of residents from Resident#2 to Resident #7, reviewed resident#1’s record reviews, and a facility tour. LPA obtained copies of the Staff and Resident Rosters; and resident files for Resident #1 (R1) with relevant information. The investigation revealed the following: In regard to allegation "Facility staff left resident on the floor for an extended period of time," it was alleged that R1 fell off the bed and was on the floor for an hour. (-continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, February 14, 2022 · control 28-AS-20211025125712

Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint investigation at the facility. Upon arrival, LPA met with Araceli Dimaguila (RN) and explained the purpose of the visit. During today's investigation, LPA obtained a copy of the Staff, Resident roster and repair invoice. LPA interviewed Staff #1, #2 and #3 in the conference room between 10:00 am to 10:37 am. LPA toured the facility with Staff #3 at 10:40 am, measured the water temperature in various bedrooms and interviewed Residents #1 to Resident #10 between 10:45 am to 12:00 pm in various locations of the facility . In regards to the allegation: Facility does not have adequate hot water available to residents. LPA reviewed a copy of a service invoice dated 12/13/21 indicating a water pipe was replaced due to leakage. Services were rendered the same day on 12/13/21. Interviews with Staff indicate that in the past month the only water issue the facility experienced was on 12/13/21 and the problem was resolvedRead the full finding— CDSS inspection report, January 10, 2022 · control 28-AS-20220103112145

This is a corrected report for report created on 7/28/21 to provide additional information and supersedes report dated 7/28/21. On 7/28/21 Licensing Program Analyst(s)(LPA) Bonnie Tao conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA Tao met with Pamela Parson administrator and explained the reason for the visit. The investigation consisted of the following: LPA Tao conducted interview with administrator, resident #1(R1),#2(R2),#3(R3),#4(R4),#5(R5),#6(R6),#7(R7),#8(R8),#9(R9),#10(R10),#11(R11),#12(R12),#13(R13),#14(R14) and staff #2(S2), #3(S3),#4(S4),#5(S5), and contacted family representative for R1. LPA Tao reviewed documents for R1. UnsubstantiatedRead the full finding— CDSS inspection report, December 11, 2021 · control 28-AS-20210721121808

Licensing Program Analyst (LPA) Tao, conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met with Administrator, Pamela Parsons. LPA explained the purpose of today’s visit is to discuss the above mentioned allegation. The investigation consisted of interviews with Resident #1 through Resident #11; Administrator, Staff#2 through Staff#10; reviewed Resident #1 file and mail policy. A copy of mail policy was obtained. In regards to the allegation: Staff opened residents mail. Per interviews of residents, eleven (11) out of eleven (11) residents revealed that staff did not open their mail. Per interviews of staff, ten (10) out of ten (10) denied staff open residents’ mail. Based on interviews conducted, the statements obtained did not corroborate with this allegation. Review of mail policy, resident’s mails are remained un-open and placed into resident’s locked mailbox. During the visit, LPA did not observe opened residents mail at the frontRead the full finding— CDSS inspection report, December 7, 2021 · control 28-AS-20211201091411

***This licensing report supersedes the complaint investigation report dated 07/01/2020. The findings have been changed to Unsubstantiated*** The initial investigation was conducted on 05/17/19, during visit, LPA Day, reviewed resident records, interviewed residents, Owner, Administrator and LPA Day toured the facility. Subsequent visits were conducted on 01/03/20 and 06/12/20. During the subsequent visits, LPA Day interviewed Administrator Pat Redner, attempted to interview Resident #1 (R#1) and Resident #1 private caregiver, however, R#1 and R#1 private caregiver were not available. LPA Day reviewed R#1 facility file and received copies of R#1's Admission agreement, Face sheet and ID information, last physical, pre-placement appraisal and medication log and interviewed administrator Pat Redner and two (2) facility staff. (- Continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, December 1, 2021 · control 28-AS-20190515163549

Licensing Pogram Analyst (LPA) Cynthia Chan initiated the complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with Executive Director, Pamela Parsons, to explain the purpose of the visit. The investigation consisted of the following: LPA Chan obtained copies of the Staff, Resident rosters, and list of caregivers assigned unit. Interviews were conducted with the Executive Director, 6 Staff, and 14 Residents. The investigation revealed the following: Allegation – Staff did not respond to resident’s call in a timely manner. Executive Director Parsons stated that the facility has a call light system in place. When a resident pushes the button or pulls the string in the bathroom, the signal will be triggered in the records room by the front desk. The front desk will page caregivers through a walkie talkie for them to check on the resident. (Continue on the LIC9099) UnsubstantiatedRead the full finding— CDSS inspection report, November 17, 2021 · control 28-AS-20211115140009

***This report serves as an amendment and supersedes the original complaint investigation report created on 07/28/2021. The finding remains the same as in the prior licensing report -Unsubstantiated. *** Licensing Program Analysts (LPA) Tao, conducted a follow up unannounced 10-day complaint visit to this facility. Upon arriving at the facility, LPA met with Pamela Parsons, Administrator, and Julie Chirikian, Licensee. LPA explained the purpose of today’s visit and discuss to them above mentioned allegations. Regarding allegation: Staff did not assist resident with walking. The Investigation consisted of LPA’s observations, interviews with residents#1 - #14, interviews with staff #1- #4 and review of Resident #1’s file. On today's visit, LPA Tao interviewed Staff #1-#5 and Resident #1-#14. Resident interviews revealed that twelve (12) out of fourteen (14) residents reported that staff assist them with walking when they need assistance. Two (2) out of fourteen (14) residents were not abRead the full finding— CDSS inspection report, July 28, 2021 · control 28-AS-20210721121808