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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610403
Report Date: 11/19/2024
Date Signed: 11/19/2024 02:21:34 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
11/14/2024 and conducted by Evaluator Raymond Comer
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20241114124546
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: 105DATE:
11/19/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Adam SyncheffTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff not assisting resident in a timely manner-
INVESTIGATION FINDINGS:
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On Tuesday, 11/19/24, at 9:30 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegation listed above. LPA conducted the initial complaint visit on 11/18/24. LPA met with facility Administrator, Adam Syncheff, and the purpose of the visit was disclosed.

At 9:40 am, A physical plant tour of the facility was conducted by LPA; No health or safety issues observed.

Allegation: Staff not assisting resident in a timely manner-

It was alleged that staff take an average of two (2) hours to respond when Resident#1's (R1's) call button is activated.

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

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
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 2
Control Number 31-AS-20241114124546
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: 11/19/2024
NARRATIVE
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To investigate the complaint, LPA conducted observations of the facility, interviews with staff, residents, and responsible family member of R1. During LPA observations, LPA inspected resident rooms (#202, #214, #123, #219, #104) for required fixtures, furnishings, and overall conditions; no health/safety issues were found during LPA observations. LPA activated the services call button of all inspected rooms: Caregiver staff responded to activated call buttons within two (2) to five (5) minutes.

LPA interview with F1 revealed the following: F1 states, "I can't recall a time that staff responded to R1's service call button in less than twenty (20) minutes from it's activation. F1 states that staff do a "great" job of providing care at the facility. F1 stated to LPA that they are not "complaining" about staff response times; they just want to see some overall improvement in quality by staff.

LPA interviews with staff revealed the following: When residents activate the service call button, the central "base station", located in the reception area, displays the resident's room number and actual time the button was activated. The base station automatically alerts all caregiver staff, via pager. An available caregiver staff arrives to the resident's room, provides service to the resident, and de-activates the room's call button. Staff state that, on average, caregivers response to an activated call button within two (2) to seven (7) minutes, depending on the demands made upon staff at the time a button is activated. Staff states that R1 gets frustrated at times when their call button is not immediately responded to by caregivers.

LPA interviews with residents revealed the following: Seven (7) out of Nine (9) residents state staff response time to service calls is satisfactory, saying that staff usually respond within five (5) to ten (10) minutes, at most.

Based on the information obtained through LPA observation, and interviews, it cannot be proven that staff fails to respond to resident service calls in a timely manner. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2