198603401-9-22-2025-28-AS-LHIS-DM3RDN-20251002125611

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 09/22/2025
Date Signed: 09/22/2025 02:34:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
02/13/2025 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250213144252

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: 69	DATE:	09/22/2025
		UNANNOUNCED	TIME BEGAN:	09:37 AM
MET WITH:	Virgilio "Gil" Agas - Administrator		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent residents from using illegal drugs.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit at the facility to investigate the above-mentioned allegation. LPA met with Administrator Virgilio "Gil" Agas, and explained the purpose for the visit.

On 4/14/25 LPA Nune Margaryan conducted an initial visita and obtained a copy of resident/staff rosters, conducted a tour of physical plant and common areas with Administrator, and obtained the following documents from Resident #1(R1) file. From 2/14/25 to 3/25/25 an investigator from the Investigations Bureau (P.Miles) conducted an investigaion and sent complaint back to the Regional Office for further investigation. During todays visit 9/22/25 LPA Herrera conducted a subsequent visit, obtained copies of the staff/resident rosters, copy of Special Incident Report (SIR) from R1's file, toured facility, interviewed 3 staff (S1-S3) and 9 residents (R1-R9).
(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025

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-20250213144252

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: ARCADIA RETIREMENT VILLAGE	FACILITY NUMBER: 198603401
	VISIT DATE: 09/22/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The Investigation Revealed the Following:
Allegation: Staff did not prevent residents from using illegal drugs.
It is alleged that residents go out and bring back drugs from the surrounding areas, and facility staff are aware and do nothing to prevent this. LPA interviewed 3 staff and each denied the above allegation. Interview with S1 revealed that although some residents have been caught with drug paraphernalia, the items are confiscated and residents are spoken to, given a warning and reminded of the house rules. LPA interviewed 9 residents and each denied the above allegation. Interviews with R2,R4-6 and R9 revealed that although they have heard of individuals doing drugs, the Administrator has spoken with them, issued warnings and signs that say No Illegal Drugs Allowed on Premises are displayed throughout the facility. LPA toured facility, the No Drugs on Premises signs were observed in the main entrance and halls, LPA did not observe any drug paraphernalia or observe any odors that may suggest individuals are using any illegal drugs. Although there have been situations where residents were caught using illegal drugs, staff were not made aware of this prior to them getting caught and staff took immediate action and addressed the issue.

Based on statements and interviews conducted with staff/residents, and review of resident files, there was not enough supportive evidence to concur with the reported 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 the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was emailed to administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2