198603648-6-20-2025-28-AS-FFIS-DKSQY7-20250822123434

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603648
Report Date: 06/19/2025
Date Signed: 06/20/2025 07:49:15 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
06/11/2025 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250611154107

FACILITY NAME:	OMEO ARCADIA LIVING		FACILITY NUMBER:	198603648
ADMINISTRATOR:	ZHANG, JINGFANG		FACILITY TYPE:	740
ADDRESS:	601 SUNSET BLVD		TELEPHONE:	(323) 422-8030
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	99	CENSUS: 82	DATE:	06/19/2025
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not prevent resident from wandering from facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sanjay Vaid made an unannounced visit in response to the above-mentioned allegation. LPA met with Med-Tech Lucy Alonso. Betty Chang, Operations Manager arrived shortly after. The reason for the visit was discussed.

LPA Vaid requested, obtained and reviewed the following documents. Staff and resident rosters, Identification and emergency information, physicians report, admissions agreement, Power of Attorney, and medication list of the resident. Contact numbers for residents’ POA, LA County social workers, Arcadia police and investigation report number and facility staff.

Regarding the allegation: Staff did not prevent resident from wandering from facility. It is alleged that the facility staff did not prevent resident from wandering from the facility. Five (5) out of five (5) staff interviewed deny this allegation.
CONTINUED ON PAGE 9099C........

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

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-20250611154107

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: OMEO ARCADIA LIVING	FACILITY NUMBER: 198603648
	VISIT DATE: 06/19/2025

NARRATIVE

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Interviews with staff revealed the resident is not able to leave the facility unattended according to the physicians’ report dated 5/8/25 and is accompanied by staff when leaving the facility for errands. The resident can leave the facility only when attended by staff or family. On 6/4/25, resident was picked up by their family and taken to the family home. When resident did not return, the POA was notified, and the resident was located via air tags installed on resident’s person by resident’s POA. According to W1, the resident did not wander from the facility, they were picked up by residents’ family and taken to their home. Seven (7) out of eight (8) residents could not collaborate this allegation. Resident interviewed stated; they know who the POA is. Resident stated they have never wandered off the facility property without being accompanied. Resident stated they were picked up by their family member on 6/4/25 and returned 6/5/25, they were pick up and went to the family members home for overnight visit. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report was given to Administrator- Jennifer Zhang.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

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