198603401-2-4-2026-28-AS-FFIS-DQZV8H-20260205151245

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 12/23/2025
Date Signed: 02/04/2026 01:29:34 PM

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
08/07/2025 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250807102834

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:	0	CENSUS:	DATE:	12/23/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator -Nirjara Acharya		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Uncleared staff caring and supervising residents.
Staff are mismanaging resident's medications.
Staff do not ensure residents are provided quality food.
Staff do not meet training requirements.
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INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid delivered findings to closed facility. Licensing reports to be mailed, via USPS.

Facility closure date: 11/30/2025

On 08/12/25, LPA Vaid conducted initial 10-day complaint visit and gathered the following documents- staff and resident rosters, duties for caregivers and med-techs, staff in-service on-going trainings. Toured the facility with Administrator Agas interviewed staff/residents and did not observe any health and safety concerns.

Regarding the allegation: Uncleared staff caring and supervising residents. It is alleged that management is hiring staff without the necessary DOJ clearances. Seven (7) of seven (7) interviewed denied this allegation. Two (2) of seven (7) staff stated they only heard rumors, nothing substantial.

.................CONTINUED on 9099C...................

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025

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-20250807102834

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: 12/23/2025

NARRATIVE

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Seven (7) of seven (7) residents interviewed could not corroborate this allegation. Records reviewed indicate W1 was cleared by Department of Justice. W1 required an exemption to continue their employment at the facility. W1 was associated with the facility from April 2024 to December 2024. Nothing to indicate that W1 was not cleared. Association ended on 12/26/24. Based on interviews and records reviewed, 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 the allegation is unsubstantiated.

Regarding the allegation: Staff are mismanaging resident's medications. It is alleged that staff are mismanaging residents medications. Seven (7) of seven (7) staff interviewed deny this allegation. Four (4) of seven (7) staff interviewed stated that medication administration protocols are followed for each resident and for each medication that is given to the resident. Observations were made during the administration of medications, and all protocols were followed according to the medication guide printout. Seven (7) of seven (7) residents interviewed could not corroborate the allegation. All residents stated they receive their medications without any issues. Based on interviews and records reviewed, 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 the allegation is unsubstantiated.

Regarding the allegation: Staff do not ensure residents are provided quality food. It is alleged that staff are not providing quality food for the residents. Seven of seven staff interviewed deny this allegation. According to staff quality food is delivered and prepared for the residents. Food options are offered to residents not wanting to eat posted meals. Fresh produce is offered daily. Meals are prepared in accordance with residents’ meal plans. Six (6) of seven (7) residents interviewed liked the food offered. Four (4) of seven (7) residents interviewed stated that extra food options are available. Based on interviews observations and records reviewed, 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 the allegation is unsubstantiated.

Regarding the allegation: Staff do not meet training requirements. It is alleged that staff do not meet the training requirements. Seven (7) of seven (7) staff interviewed deny this allegation. According to the staff, all new hires are provided with two weeks’ training before working on the floor with residents, and medication technicians may receive additional training's. Seven (7) of seven (7) residents interviewed could not corroborate the allegation. Residents are not aware of the training requirements of the staff. Based on interviews, records review. 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 the allegation is unsubstantiated.

Finding will be delivered to Licensee mailing address, via USPS for signature.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025

LIC9099 (FAS) - (06/04)

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