198603824-3-18-2026-28-AS-FFIS-DTW26H-20260508170707

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603824
Report Date: 03/17/2026
Date Signed: 03/18/2026 08:15:23 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
03/12/2026 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260312113958

FACILITY NAME:	ARCADIA RETIREMENT VILLAGE		FACILITY NUMBER:	198603824
ADMINISTRATOR:	ACHARYA, NIRJARA		FACILITY TYPE:	740
ADDRESS:	607 WEST DUARTE RD		TELEPHONE:	(626) 447-6070
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	200	CENSUS: 77	DATE:	03/17/2026
		UNANNOUNCED	TIME BEGAN:	08:52 AM
MET WITH:	Administrator, Silvia Valdez		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility issued an illegal eviction to a resident in care.
Facility accepted and retained residents beyond its' license limitations.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted initial investigation to the facility and met with Administrator and discussed the purpose of the visit. LPA Vaid and Administrator conducted a facility tour and did not observe any health and safety issues.

LPA vaid requested , obtained and reviewed the following documents, staff roster, resident roster, Resident 1-R1-face sheet, physicians report, pre-filled admissions agreement and pre-filled arbitration documents (unsigned by resident), copy of service plan and resident assessment.

LPA Vaid interviewed staff, residents and witness.

Regarding the allegation: Facility issued an illegal eviction to a resident in care. It is alleged that the facility has issued illegal eviction to resident in care. Four of four staff denied this allegation.
CONTINUED ON 9099C.......

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026

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-20260312113958

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 RETIREMENT VILLAGE	FACILITY NUMBER: 198603824
	VISIT DATE: 03/17/2026

NARRATIVE

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According to interviews with staff and records reviewed R1’s eviction is due to non-payment of four months rental. According to records, the room rental has been grandfathered, the current rental rate will be honored and applied. It is the resident’s duty to contact the their retirement fund manager and make payment arrangements. The facility has agreed to honor the prior admissions agreement. R1 has refused to accept responsibility for the rental agreement and is citing agreements made with prior management company. R1 refuses to submit new/updated physician’s medical report to the new management company. According to the staff without the new physicians report the facility cannot render appropriate care the resident requires. Six of seven residents interviewed could not corroborate this allegation. Residents interviewed stated they are not being evicted, they are paying the rental dues and do not have further knowledge of the allegation. 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: Facility accepted and retained residents beyond its' license limitations. It is alleged that the facility is accepting and retaining residents that do not meet the resident care facility criteria and are allowing two young males to reside at the facility. Per allegation the two Hispanic men are not 65 years of age and are not handicapped therefore are not allowed to reside in the facility. The two Hispanic men are jamming the Wi-Fi system and are entering R1’s room with an illegal copied key. Four of four staff interviewed denied this allegation. According to the staff no one matching that description resides at the facility. Master key are kept on staff people needing to enter and clean residents’ room. Observations made by LPA Vaid, the resident in room 203 is not Hispanic or of Mexican descent, room 205 is an empty room. LPA Vaid observed R1’s TV working and R1 watching the news. LPA Vaid did not observe R1’s phone, however R1 received a call while R1 was being interviewed by LPA. Six of seven residents interviewed could not corroborate this allegation. Residents are not aware of the licensee’s accepted and retained limitations and could not verify the identity of the two Hispanic male twins residing at the facility. Based on interviews conducted, records review, and observations made, 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 a copy of the licensing complaint report was provided to Administrator, Slivia Valdez.
2nd page was signed by Executive Director Paul Gozon.

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

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026

LIC9099 (FAS) - (06/04)

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