198603821-5-7-2026-28-AS-FFIS-DUBSW5-20260522141344

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603821
Report Date: 05/07/2026
Date Signed: 05/07/2026 02:12:10 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
04/29/2026 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260429085846

FACILITY NAME:	ARCADIA LIVING		FACILITY NUMBER:	198603821
ADMINISTRATOR:	ZHANG, JINFANG		FACILITY TYPE:	740
ADDRESS:	601 SUNSET BLVD		TELEPHONE:	(888) 218-8921
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	99	CENSUS: 88	DATE:	05/07/2026
		UNANNOUNCED	TIME BEGAN:	08:39 AM
MET WITH:	Administrator, Jennifer Lan		TIME COMPLETED:	02:07 PM

ALLEGATION(S):

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Staff did not prevent a resident from smoking inside of the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted initial investigation and met with Maritza Arizmendi, assistant to Administrator Jennifer Lan arrived shortly after and discussed the above-mentioned allegation. LPA Vaid, administrator Lan and S2 toured the facility and did not observe any health and safety concerns.

LPA Vaid requested, obtained and reviewed relevant resident and facility documents, interviewed staff and residents.

The investigation revealed the following:

Regarding the allegation: Staff did not prevent a resident from smoking inside of the facility. It is alleged that R2 smokes in their room and staff does not stop R2 from smoking inside the facility resident room.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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-20260429085846

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: ARCADIA LIVING	FACILITY NUMBER: 198603821
	VISIT DATE: 05/07/2026

NARRATIVE

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Four of four staff interviewed denied this, staff stated there are no residents smoking in the facility rooms, staff making routine rounds every two hours have not smelt cigarette smoke, have not observed ashes or cigarette butts in the residents’ room while preforming housekeeping duties. There is a designated smoking area for the residents and visitors. Staff are instructed to smoke off campus. S1 stated having advised R1 to notify staff whenever the smell of cigarettes is noticed, even in the late or early morning hours: anytime.
During the tour, LPA Vaid observed smoke /fire alarms visibly flashing in each residents rooms inspected. Staff stated the smoke/ carbon monoxide alarms are hardwired. S1 stated the 'no smoking' rules are enforced. R1 did not have oxygen tank signs on the their door.
Rooms with oxygen in use were observed with signs-'oxygen in use' on residents doors.
Seven of eight residents interviewed could not corroborate this allegation. Residents stated not having smelled cigarette smoke on the third floor of the building or anywhere in the facility common areas.
During tour of the facility and third floor LPA Vaid did not observe the smell of cigarette smoke in R1’s and R2’s rooms. LPA Vaid did not observe smell, ashes or cigarette butts in R2’s waste baskets.
Based on interviews and observations of no cigarette smoke smell, 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 this report is provided to Administrator Jennifer Lan.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

LIC9099 (FAS) - (06/04)

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