198603401-8-11-2025-28-AS-FFIS-DKKV64-20250815160856

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 08/11/2025
Date Signed: 08/11/2025 09:46:18 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 VILLAGE		FACILITY NUMBER:	198603401
ADMINISTRATOR:	VIRGILIO AGAS		FACILITY TYPE:	740
ADDRESS:	607 WEST DUARTE RD		TELEPHONE:	(626) 447-6070
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	200	CENSUS: 77	DATE:	08/11/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	GIL AGAS-Administrrator		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff financially abused resident while in care.

INVESTIGATION FINDINGS:

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****This report supersedes the original complaint investigation report dated 06/19/2025. The purpose of the visit is to add additional information not included on the report dated 06/19/2025 regarding staff financially abuse resident while in care, the findings remain the same. *****

On 06/19/25, LPA Vaid requested, obtained and reviewed the following staff and resident’s 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) residents LIC 405 (P&I) funds. Interviews with Residents R2-R7, and Staff S1-S5 interviews. R1 was not interviewed, as R1 was admitted to the hospital.

CONTINUED ON 9099C....................

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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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: 08/11/2025

NARRATIVE

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Regarding the allegation: Staff financially abused residents while in care. It is alleged that the facility staff has mismanaged the residents’ account causing the bank account balance for R1 to become overdrawn. It is further alleged that the Administrator withdrew funds from a resident’s bank account.

Five (5) out of five (5) staff interviewed deny this allegation. According to the staff they have not heard of mismanagement of residents’ funds. The cash funds P&I monies are handled by the administrator only and no one else. According to S1, R1 asked S1 to hold R1 personal belongings for safe keeping as R1 was being transported to the hospital. S1 stated that R1 left R1s personal belonging with S1 on 05/27/25 and S1 has not withdrawn funds from R1s bank account with or without the R1’s knowledge since that date. S1 stated that they do not have the pin code for R1’s debit card, and has never taken any monies from any of the facility residents. R1s physicians report dated 09/24/2024, states R1 can manage R1’s own cash resources. The interview with R1’s Assisted Living Waiver coordinator (W1) did not corroborate the allegation. W1 indicated that R1 has episodes of not being able to recall events and/or confusion with timeline of events. Interviews with seven (7) out of eight (8) residents could not corroborate the allegation. Residents stated that the Administrator handles resident’s P&I funds and residents have never had an issue of misuse of residents funds. Residents have access to their monies whenever needed. 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: 08/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

LIC9099 (FAS) - (06/04)

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