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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 06/17/2025
Date Signed: 08/11/2025 09:46:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/09/2025 and conducted by Evaluator Sanjay Vaid
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250609163552
FACILITY NAME:ARCADIA RETIREMENT VILLAGEFACILITY NUMBER:
198603401
ADMINISTRATOR:VIRGILIO AGASFACILITY TYPE:
740
ADDRESS:607 WEST DUARTE RDTELEPHONE:
(626) 447-6070
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:200CENSUS: 71DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:GIL AGAS-ADMINISTRATORTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff financially abused resident while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) S Vaid conducted an initial 10-day complaint visit to the facility and was met by Administrator Gil Agas and the purpose of the visit was discussed.

LPA Vaid requested, obtained and reviewed the following staff and client roster, resident facility file for R1 containing monthly rent invoice, Identification and emergency Info, preplacement appraisal, physicians report, Individual Service Plan Assisted Living Waiver, Admissions agreement and unusual incident report dated 05/27/25, and review of three (3) clients LIC 405 (P&I) funds. Interviews with residents R2-R7, and Staff S1-S5 interviews. R1 was not interviewed, resident has been admitted to the hospital.

Regarding the allegation: Staff financially abused resident while in care. It is alleged that the facility staff has mismanaged the clients account causing the bank account balance for resident to become overdrawn. It is further alleged that Staff withdrew funds from clients’ bank account.
CONTINUED ON 9099C..............
Unsubstantiated
Estimated Days of Completion: 0
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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 28-AS-20250609163552
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ARCADIA RETIREMENT VILLAGE
FACILITY NUMBER: 198603401
VISIT DATE: 06/17/2025
NARRATIVE
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Five (5) out of five (5) staff interviewed deny this allegation. According to the staff they have not heard of mismanagement of clients’ funds. The cash funds P&I monies are handled by the administrator only, no one else. According to Staff #1 (S1), the client had S1l hold their belongings for safe keeping as the client was being transported to the hospital. S1 stated, S1 has not withdrawn funds from the clients account with /without the clients’ knowledge since the client left their personal belongings with S1 on 05/27/25. S1 stated that S1 does not have the pin code for the ATM card, and has never taken any monies from any of facility clients in care. The physicians report dated 09/24/2024, states that the client can manage own cash resources. According to R1’s Assisted Living Waiver coordinator, W1 stated that the client has episodes of not being able to recall events and has confusion of timeline events. Seven (7) out of eight (8) clients interviewed could not collaborate this allegation. Clients interviewed, stated that S1 handles their P&I funds and there has been never an issue of missing funds and the clients have access to their monies when ever they have the need. Based upon record reviewed and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report was given to Gil Agas, Administrator..
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2