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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 10/04/2024
Date Signed: 10/04/2024 02:52:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2024 and conducted by Evaluator Raymond Comer
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20240723125344
FACILITY NAME:GARDEN OF PALMS LAFACILITY NUMBER:
197610403
ADMINISTRATOR:HIRSCH,RENAFACILITY TYPE:
740
ADDRESS:1025 N FAIRFAX AVETELEPHONE:
(323) 656-7900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:130CENSUS: 106DATE:
10/04/2024
UNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Administrator-Adam SyncheffTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff do not safeguard resident’s personal property-
Licensee retaliates against facility staff for reporting-
INVESTIGATION FINDINGS:
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On Friday, 10/04/24, at 9:20am, Licensing Program Analyst (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegation(s) listed above. LPA conducted the initial complaint visit on 7/30/24. LPA met with facility Administrator, Adam Syncheff, and the purpose of the visit was disclosed.

At 9:30 am, A physical plant tour of the facility was conducted by LPA; No health and safety issues were observed.

Allegation: Staff do not safeguard resident’s personal property- It was alleged that residents personal items are stolen by facility staff.

To investigation this allegation, LPA conducted records review, interviewed residents and staff.

[LIC 9099C Continued]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
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 31-AS-20240723125344
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: GARDEN OF PALMS LA
FACILITY NUMBER: 197610403
VISIT DATE: 10/04/2024
NARRATIVE
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Residents interviewed by LPA from 10:50am to 12:00 pm revealed that seven (7) out of seven (7) residents believe staff provide satisfactory service regarding the safeguarding of their personal belonging, and have not reported any instance of theft of personal belongings as committed by facility staff.
LPA interviews with staff from 12:00pm to 1:20pm did NOT reveal sufficient evidence to support this allegation.

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. Therefore, Based on interviews with Residents and Staff, This allegation is unsubstantiated.

Allegation: Licensee retaliates against facility staff for reporting- It is alleged that staff, whom may have reported incidents of theft upon residents committed by other staff members, have been fired by licensee as an intimidation tactic.

To investigate this allegation, LPA interviewed Administrator, and Staff. LPA interviews with four (4) out of four (4) staff did NOT reveal sufficient evidence to support that licensee is retaliating against staff for reporting on the acts of other staff members. Interview with Administrator, and review of facility termination records indicate that employee termination procedures are evaluated in conjunction with specific regards to job performance expectations.

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, Therefore, Based on records review, interviews with Administrator, and Staff, This allegation is unsubstantiated.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024
LIC9099 (FAS) - (06/04)
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