198603535-6-19-2026-28-AS-WSHO-DW9L8M-20260723083210

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603535
Report Date: 06/19/2026
Date Signed: 06/19/2026 04:04:33 PM

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
04/17/2026 and conducted by Evaluator Mayra Cota

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260417112412

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: 146	DATE:	06/19/2026
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Alisa Dean, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff is not assisting residents with resident council.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced subsequent visit to deliver findings regarding the above-mentioned allegation. LPA met with Alisa Dean, Executive Director, and the reason for the visit was explained.

The investigation consisted of the following:

On 4/21/2026, LPA Cota conducted initial complaint investigation visit and obtained copies of staff and resident rosters, toured the facility and conducted interviews with Staff 1 (S1) and Resident 1 – Resident 2 (R1-R2). LPA also obtained copies of Resident Council Meeting Minutes for 3/4/2026.
During the investigation, LPA interviewed Staff 2 – Staff 4 (S2-S4) and Resident 3 – Resident 13 (R3-R13). LPA, reviewed and obtained copies of Resident Council Minutes, Election Results and Meeting Announcements flyers.

The investigation revealed the following: ***Continues on LIC 9099-C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

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-20260417112412

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: 06/19/2026

NARRATIVE

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Regarding: Staff is not assisting residents with resident council.

It is alleged that facility staff were supposed to bring a box around the facility so that people can vote during resident council elections, but staff refused to do so. It is also alleged that staff refused to ask residents if they wanted to vote in the election.

Interview with S1-S4 deny the allegation. Staff interviews revealed that staff assist residents with resident council. Staff indicated that resident council is a resident guided activity; however, staff assist when help is requested by residents. Staff stated that they assist with typing the Resident Council Minutes after approval from residents is provided, print and post the monthly meeting announcements and hand out flyers to residents in the common areas. During the week of resident council elections which took place on 4/15/2026, staff’s help was requested by residents to assist in creating the voting ballots, printing and posting flyers around the facility announcing the elections, and handing the flyers out to residents. Staff stated that they did not refuse to ask residents if they wanted to vote. Staff indicated that S2 and S3 walked room to room with a box and took the votes from residents who wanted to participate. Residents who did not want to participate in voting were reminded that the box was going to be in the front office so that they could cast their vote before 4/15/2026 in case they change their mind. Staff further indicated that announcements were made prior to the election, starting on 3/9/2026 during the monthly resident council meeting. Interviews with (8) out of (13) residents indicated that staff assisted them with voting in the resident council election. Four (4) residents indicated that staff walked around the facility with the ballot box and collected their votes in their room. Four (4) residents indicated that they placed their vote in the box that was in the front office. Three (3) residents indicated that they did not participate in the election but were offered by staff if they wanted to vote. Interviews with staff and residents could not corroborate the allegation that the facility is not assisting with resident council.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026

LIC9099 (FAS) - (06/04)

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