198603445-12-4-2025-28-AS-WSHO-DPAV5G-20251212150754

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603445
Report Date: 12/04/2025
Date Signed: 12/04/2025 03:15:48 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
09/22/2025 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250922160450

FACILITY NAME:	ARCADIAN, THE		FACILITY NUMBER:	198603445
ADMINISTRATOR:	HARDIE LIN		FACILITY TYPE:	740
ADDRESS:	753 W DUARTE ROAD		TELEPHONE:	(626) 445-7981
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	120	CENSUS: 108	DATE:	12/04/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Hardie Lin		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not prevent resident from developing pressure injuries
Staff are not following reporting requirements

INVESTIGATION FINDINGS:

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The purpose of today's visit 12/04/25 is to gather additional information regarding the allegation, Staff did not prevent resident from developing pressure injuries.
Today 12/04/25 the following was done:
Staff S1- Staff S2 were interviewed. Administrator was interviewed and Home Health Representative was interviewed telephonically.
The initial visit was conducted on 09/30/25 and included the following:
Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegations. LPA met with Administrator Hardie Lin and explained the reason for the visit. Shortly after Licensee Amber Branconier arrived.
The investigation consisted of the following:
LPA obtained copies of Resident and Staff rosters, reviewed Resident R11's file and collected Physician's Report, Admissions Agreement and Emergency ID page. conducted interviews with Licensee, Administrator, Staff S1 and Residents (R1-R10). .

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

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-20250922160450

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: ARCADIAN, THE	FACILITY NUMBER: 198603445
	VISIT DATE: 12/04/2025

NARRATIVE

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Interviews were also conducted with the Home Health and Primary Care Physician for Resident R11.
Interview also conducted with Power of Attorney (POA) for Resident R11.
The investigation revealed the following:
Allegation: Staff did not prevent resident from developing pressure injuries.
Based on interviews conducted and information gathered the Home Health Representative stated that Resident R11 was being seen 3x a week Monday, Wednesday and Friday. Stated R11 was seen on 09/12/25, 09/15/25 and 09/17/25 by Home Health and went into the hospital on 09/19/25. Said that the wound on the coccyx was little measuring 0.5 height, 0.5 width and 0.2 depth. Stated that was the only open wound being treated and that there was not an open wound on the knee.
Said staff were instructed on how to provide wound care and there have been no issues. Stated that the wound was healing pretty well.
Interview with the POA for Resident R11 who stated that the wound for Resident R11 was not new and he did know about it. Stated Home Health has been providing care and that there is no wrong doing by the facility.
Spoke with the Primary Care Physician for Resident R11 who stated that R11 was seen on 07/05/25 and didn't observe a pressure injury. Stated facility is doing a good job.
Spoke with Resident's R1- R10 who all stated that staff are doing a great job providing assistance.
Said their response time is quick and they call 911 immediately.
R1 stated having a fall and staff acted right away and knew what to do. Also had a wound and saw Home Health and staff did a great job cleaning, drying and wrapping it.
Staff S1 stated that with R11 they would always keep the skin clean. Said it was a little teeny small wound. Stated that Home Health trained them and they always wash with soap and water, put creme on and keep it dry.
Staff S1, S2 and the Administrator stated that Home Health was taking care of the wound to the coccyx and didn't observe any other open wounds. All stated there was no wound on the knee.
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.

Allegation: Staff are not following reporting requirements
Based on interviews conducted and information gathered POA for Resident R11 stated that he knew of the wound and that it is the same old one. Also knew that R11 was being seen by the Home Health agency.
Stated he doesn't feel that the facility has done anything wrong. Feels the facility has been providing good care and supervision.
Interview with Licensee who stated that POA knew of the wound being that it was the same one that R11 has had.
Also stated that POA always had known of Home Health assisting Resident R11 3x a week for wound care.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250922160450

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: ARCADIAN, THE	FACILITY NUMBER: 198603445
	VISIT DATE: 12/04/2025

NARRATIVE

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Interview with Resident's R1- R10 who all stated that the facility will report everything to their designated
representative.
Also stated that facility report everything to their doctor and other agencies.

It should be noted that Resident R11 is currently at skilled nursing as stated by POA for R11.

It should be noted that the findings will remain Unsubstantiated.

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 with Administrator and copies provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

LIC9099 (FAS) - (06/04)

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