198603648-8-21-2025-28-AS-FFIS-DKSQY6-20250822123434

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603648
Report Date: 08/11/2025
Date Signed: 08/21/2025 12:11:01 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
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:	08/11/2025
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Administrator-Jennifer Zhang		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Staff did not prevent resident from wandering from facility

INVESTIGATION FINDINGS:

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****This report supersedes the original complaint investigation report dated 06/19/2025. The purpose of the visit is to add additional information not included on the report dated 06/19/2025, the findings remain the same. *****

On 6/19/2025, 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 residents. Contact numbers for residents’ POA, Los Angeles County Social Workers, Arcadia Police investigation report number and facility staff.
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: 08/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

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: 08/11/2025

NARRATIVE

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Regarding the allegation: Staff did not prevent residents from wandering from facility. It is alleged that the facility staff did not prevent a resident from wandering from the facility. Five (5) out of five (5) staff interviewed denied the allegation.
Interviews with staff revealed that resident #1 (R1) is not able to leave the facility unattended according to R1’s physicians’ report dated 5/8/25. R1 is accompanied by staff when leaving the facility for errands. R1 can leave the facility only when attended by staff or family. On 06/04/25, R1 was picked up by R1’s family and taken to the family home. When R1 did not return to the facility, staff notified of R1s POA of R1s absence. R1 was located via air tags installed on R1s person by R1’s POA. According to interviews with W1, R1 did not wander from the facility, R1 was picked up by R1’s family member and taken to the family home. Seven (7) out of eight (8) residents could not corroborate the allegation. Interviews with R1 revealed that R1 knows who R1’s POA is and R1 has never wandered from the facility without being accompanied by staff or R1’s family. R1 stated R1 was picked up by R1’s family members on 06/04/25 and returned to the facility on 06/05/25. R1 went to family member’s home for an 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 Jennifer Zhang, Administrator.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2025

LIC9099 (FAS) - (06/04)

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