<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603401
Report Date: 03/27/2025
Date Signed: 03/27/2025 12:52:06 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
03/20/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250320085500
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: 74DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Virgilio Agas/S-1/AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff do not ensure residents are served food of good quality.
Facility staff do not provide adequate food service to residents in care.
Facility staff are unable to communicate effectively with the residents.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Elizabeth Irra conducted the initial visit to investigate the above allegations. LPA met with Virgilio “Gil” Adas (S-1/Facility Administrator) and discussed the purpose of today’s visit.

During today’s visit, LPA obtained a copy of the staff and resident rosters, copy of the weekly menus, copy of automatic food tray list, toured the kitchen and interviewed Resident #1 (R-1) through Resident #6 (R-6). LPA also interviewed Staff #1 (S-1) through Staff #6 (S-6).

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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-20250320085500
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: 03/27/2025
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
Facility staff do not ensure residents are served food of good quality. It has been alleged that over the past few months, the quality of food at the facility has declined significantly. Resident interviews revealed that the food provided by this facility is of good quality. Interviewed residents indicated the food provided by this facility is appropriately cooked and is edible, well proportioned, and the food temperature is appropriate. Interviewed residents indicated the sandwiches are provided as ordered and desserts are provided in appropriate plating. Interviewed residents indicated they have not heard anyone complaining about the quality of food nor have any concerns pertaining to this matter. Staff interviews revealed that the food provided is of good quality. Interviewed staff indicated that the food is cooked appropriately, well proportioned, and the food temperature is appropriate. Staff interviewed revealed that sandwiches are made and provided to residents as ordered. Interviewed staff indicated that desserts are plated appropriately. Interviewed staff indicated they have not heard anyone complaining about the quality of food. Interviews do not corroborate this allegation.

Facility staff do not provide adequate food service to residents in care. It has been alleged that it takes an excessive amount of time for staff to deliver food to the residents, resulting in meals often being lukewarm by the time they arrive. Resident interviews revealed that staff do not take excessive amount of time for staff to deliver food to residents. Interviewed residents indicated that the food temperature is appropriate. Interviewed residents indicated they have not heard anyone complaining nor have any concerns pertaining to this matter. Staff interviews revealed that food is delivered to residents in a timely manner. Interviewed staff indicated that the food temperature is appropriate. Interviewed staff indicated they have not heard anyone complaining about this matter. Interviews do not corroborate this allegation.

Facility staff are unable to communicate effectively with the residents. It has been alleged that most of the staff do not speak or understand English, which creates communication difficulties for residents. Resident interviews revealed that staff are able to communicate with residents. Interviewed residents indicated they have not heard anyone complaining nor have any concerns pertaining to this matter. Staff interviews revealed that staff are able to effectively communicate with residents. Interviewed staff indicated they have not received any complaints regarding this matter. Interviews do not corroborate this allegation.

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

Exit interview conducted, a copy of the Appeal Rights and this report was provided to Virgilio “Gil” Adas.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2