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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603648
Report Date: 07/14/2025
Date Signed: 07/14/2025 05:03:35 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
07/07/2025 and conducted by Evaluator Sanjay Vaid
COMPLAINT CONTROL NUMBER: 28-AS-20250707125833
FACILITY NAME:OMEO ARCADIA LIVINGFACILITY NUMBER:
198603648
ADMINISTRATOR:ZHANG, JINGFANGFACILITY TYPE:
740
ADDRESS:601 SUNSET BLVDTELEPHONE:
(323) 422-8030
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:99CENSUS: 77DATE:
07/14/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jennifer Zhang, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not safeguard the confidentiality of resident records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced visit with Administrator Jennifer Zhang. The purpose of the visit was to investigate the above-mentioned complaint. LPA Vaid and Administrator Zhang conducted a tour of the facility and did not observe any health and safety concerns.

The investigation consists of the following: LPA Vaid requested, obtained and reviewed five (5) residents’ factsheets, medications list, residents’ admissions agreement, physicians’ reports, resident communications report, staff and residents’ rosters. Five staff and seven residents were interviewed.

Regarding the allegations: Staff did not safeguard the confidentiality of resident records. It is alleged the facility staff does not safeguard the confidentiality of the residents’ records. Per the allegation, the staff is leaving residents medical files, medications logs and employee files out in the open where unauthorized personnel and public can have access. Continued on 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: 07/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025
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-20250707125833
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: 07/14/2025
NARRATIVE
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Five (5) out of five (5) staff interviewed could not corroborate this allegation, according to the staff, residents file information is shared with staff in other departments. Copies of the residents file are communicated to the caregivers, med-techs, dinning and kitchen staff. LPA observed the master resident files are kept and maintained in the Wellness/ Medication room. Copies of the residents’ files are kept in the reception area, for the paramedics and fire department to view, during after-hours when Wellness room is locked. Both resident files areas are inaccessible to residents and general public. Both areas are locked and have no unauthorized staff and public access. Seven (7) out of seven (7) residents could not corroborate this allegation. Residents are not aware of the facilities protocols of handling residents’ confidential information. Based on observation made, interviews conducted, and records reviewed, 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: 07/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2