198603535-3-11-2026-28-AS-FFIS-DSBUSP-20260319155041

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603535
Report Date: 03/10/2026
Date Signed: 03/11/2026 09:07:29 AM

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
03/05/2026 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260305110842

FACILITY NAME:	SANTA ANITA ASSISTED LIVING		FACILITY NUMBER:	198603535
ADMINISTRATOR:	JACQUELINE CORTEZ		FACILITY TYPE:	740
ADDRESS:	5600 GRACEWOOD AVENUE		TELEPHONE:	(626) 442-8410
CITY:	TEMPLE CITY	STATE: CA	ZIP CODE:	91780
CAPACITY:	150	CENSUS: 109	DATE:	03/10/2026
		UNANNOUNCED	TIME BEGAN:	08:37 AM
MET WITH:	Administrator- Jackie Cortez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are interfering with the resident council

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted initial complaint investigation and was met by Administrator Jackie Cotez and reason for the visit was discussed.

LPA Vaid requested, obtained and reviewed the following documents: staff roster, residents’ roster, Resident #1 and Resident #2 face sheet and physicians report. Resident Council Meeting Minutes. LPA Vaid interviewed staff and residents.

Regarding the allegation: Staff is interfering with resident council. It is alleged that facility staff are interfering with residents’ council meetings by attending the residents’ council meetings. Three (3) of three (3) staff interviewed deny interfering with residents’ council meetings, according to staff they only are allowed to attend the meeting at the request of the council President and with majority approval from the residents at the meeting. Staff attended the last meeting on request of the residents.

CONTINUED ON 9099C..............

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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-20260305110842

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: SANTA ANITA ASSISTED LIVING	FACILITY NUMBER: 198603535
	VISIT DATE: 03/10/2026

NARRATIVE

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During the last resident council meeting on 03/04/26, the staff attending were only assisting the Council President take the notes for the meeting minutes, during the exchange of ideas and concerns in the first half of the meeting the staff did not take part in the meeting and the meeting was conducted without the presence of any facility personnel according to residents interviewed. Eight (8) of ten (10) residents interviewed could not corroborate this allegation. According to the residents, the staff do not sit in during the entire meeting. Six (6) of ten (10) residents stated requesting staff person during last resident council meeting on 03/04/26 to assist resident council President with taking of the meeting minute notes. Three positions on the resident council are vacant and need to be filled, the residents intewrviewed stated the council President cannot multitask the vacant positions and take notes at the same time, therefore staff was requested by resident President and approved by majority of residents at the meeting to attend the resident council meeting and assist residents with taking minute notes for the council meeting.
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 was conducted and copy of licensing complaint report was provided to Administrator Jackie Cortez.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC9099 (FAS) - (06/04)

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