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Complaint Investigation Report

Pico Rivera Gardens, Pico Rivera04/09/2024Licence 198600539

Census142
Date signed04/09/2024 04:10:29 PM
Name of licensing program analystSanjay Vaid
Name of licensing program managerFernando Fierros
The inspector’s account

198600539-4-9-2024-28-AS-FFIS-D6L34G-20240625175502

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

MONTEREY PARK ASC , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/23/2023 and conducted by Evaluator Sanjay Vaid

COMPLAINT CONTROL NUMBER: 28-AS-20230823113613

On 04/09/2024, LPA’s Sanjay Vaid and Tyler Reyes, conducted the initial visit, during visit, LPA’s Vaid and Reyes took copies of the Staff/Resident rosters, we interviewed S1 and reviewed files for S2-S3 for clearance and association.

Based on observation, photo evidence and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. Deficiencies are being cited according to California Cade of Regulations, Title 22.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction