198603401-9-3-2024-28-AS-RORN-D8YMNX-20240910094616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 09/03/2024
Date Signed: 09/03/2024 04:32:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/06/2024 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20240506101920

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: 90	DATE:	09/03/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Virgilio Agas, administrator		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff did not provide resident with a 60 day notice of rate increases.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted a subsequent unannounced complaint investigation for the allegation listed above. The purpose of today’s visit was to obtain the additional information regarding the 60 days written notification of rent increase. LPA met Administrator, Gil Agas and explained the purpose of today's complaint investigation visit.

The initial unannounced 10-day complaint visit was conducted on 05/09/24. The investigation consisted of the following: obtained staff / resident roster and resident#1’s (R1) records; interviewed residents from resident#1 (R1) to resident#8 (R8); interviewed staff from staff#1 (S1) to staff#4 (S4); and conducted a facility tour.

The investigation revealed the following:

(-continued in LIC9099C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

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-20240506101920

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: ARCADIA RETIREMENT VILLAGE	FACILITY NUMBER: 198603401
	VISIT DATE: 09/03/2024

NARRATIVE

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In regard of allegation that staff did not provide resident with a 60 day notice of rate increases, it was alleged that resident’s rent increased in April 2024. LPA interviewed residents, seven (7) out of eight (8) residents could not corroborate the allegation. One (1) out of eight (8) residents stated the administrator provided insufficient time to notify resident about the rent increase. All four (4) staff interviewed denied the allegation. Staff interviews revealed staff had notified residents verbally about the rent increase for a few months and provided a written notification to residents on 01/01/24. Staff had explained the increase to residents. Per record reviews, on 01/22/24, the facility provided an written notification of $300 rent increase on April 1, 2024 and verbally explained to the resident about the rent increase. On 03/19/24, the facility provided a 2nd written notification of $300 rent increase on April 1, 2024. Administrator and staff#2 confirmed they met with resident#1 in person while explaining the rent increase and presenting the written notification on 01/01/24. Administrator provided the 2nd written notification on 03/19/24. As a result, the facility had provided resident with a 90 day notice of rate increases. Thus, administrator had provided sufficient time to notify residents about the rent increase.

Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.

Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Administrator, Gil Agas and findings were discussed. A copy this report was provided to Administrator at time of visit.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

LIC9099 (FAS) - (06/04)

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