198603821-5-27-2026-28-AS-FFIS-DVTSBE-20260709134346

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603821
Report Date: 05/26/2026
Date Signed: 05/27/2026 02:54:58 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
05/17/2026 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260517192630

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:	DATE:	05/26/2026
		UNANNOUNCED	TIME BEGAN:	09:09 AM
MET WITH:	Jennifer Lan, Administrator		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Resident eloped due to staff neglect
Licensee failed to respond promptly and appropriately to communications
from the resident’s representative

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted complaint investigation to the facility and met with Administrator Jennifer Lan and explained the reason for the visit. LPA and Administrator toured the facility and did not observe any health and safety concerns.

LPA requested , received and reviewed the following documents: staff and resident roster, Resident 1 face sheet, physicians medication orders, and physician’s reports. Interviewed staff and residents.

Regarding the allegation: Resident eloped due to staff neglect. It is alleged that due to staff neglect resident eloped from the facility. Four of four staff deny this, according to staff residents are monitored constantly by assigned caregivers throughout the shift and staff stated been monitoring R1 more frequently due to past elopements. Residents that require assistance to leave facility have pictures posted in front office to alert staff of residents unable to leave the facility without assistance. Staff stated having observed resident attempting to leave the facility after R1’s family had left and stopped the resident from leaving the facility and brought the resident back to their room without incident.
CONTINUED ON 9099C................

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026

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-20260517192630

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: 05/26/2026

NARRATIVE

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Staff stated informing the family of the incident each time after family’s visit and spoke with R1’s health agent (family)about placing R1 in another facility due to decline in R1’s health condition. Eight of eight residents interviewed could not corroborate this allegation, residents do not know about this incident happening at the facility. According to W1, R1 had two eloping incidents which have been investigated and resolved in complaint number 28-AS-20260218123711. According to W2, W1 had inquired about the elopement incident earlier this year, and according to W2, R1 has not had an elopement incident since February 2026. Based on interviews and records review, 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.

Regarding the allegation: Licensee failed to respond promptly and appropriately to communications from the resident’s representative. It is alleged that the facility failed to promptly and appropriately communicate incidents to residents’ family. Four of four staff deny this, according to staff each time an incident occurs no matter how small the incident is, the staff will notify licensing and residents families. Staff acknowledged that R1 has eloped twice in past year and the staff monitor R1 more frequently. According to W2, staff have spoken to the family about R1’s declining health conditions and requiring higher level of care and staff has alerted W2 each time R1 has had an elopement in the past year. Family is aware of two elopement incidents, W2 stated not having been informed about R1 eloping recently. According to the complaint, W1 was providing R1’s family with placement considerations after R1’s second elopement and this was addressed by licensing in complaint 28-AS-20260218123711. R1's family stated they have been constantly informed about R1's health and related conditions but not about any recent elopement. Based on records review and interviews conducted, 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 with and copy of this report was provided to Administrator Jennifer Lan.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026

LIC9099 (FAS) - (06/04)

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