198603824-4-2-2026-28-AS-FFIS-DT228P-20260410171040

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603824
Report Date: 04/02/2026
Date Signed: 04/02/2026 02:38:01 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
03/26/2026 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260326113116

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: 76	DATE:	04/02/2026
		UNANNOUNCED	TIME BEGAN:	08:36 AM
MET WITH:	Denise Almanza, Business Office Manager		TIME COMPLETED:	02:37 PM

ALLEGATION(S):

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Staff do not ensure facility is free from pests
Staff do not ensure facility is clean

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted initial investigation and was met by Business Office Manager (BOM) Almanza, and the reason for the visit was discussed. Administrator designee Madeliene Sievert and Lisa Pham, Regional Director of Operations and Jonathan Lara, Maintenance Director, arrived shortly after and assisted with the tour.

LPA Vaid requested staff roster dated 03/31/2026, and a resident roster dated 04/01/26.
4-month Pest control invoices, December 2025-March 2026. LPA Vaid interviewed staff and residents. LPA Vaid toured and observed six random residents’ rooms.

Regarding the allegation: Staff do not ensure facility is free from pests. It is alleged that staff are not ensuring the facility is free of roaches and vermin in residents’ rooms. Five of five staff deny this allegation. According to staff, residents have not reported pest problems to management.
CONTINUED ON 9099C.............

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

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-20260326113116

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: 04/02/2026

NARRATIVE

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Pest control company is scheduled for monthly visits to observe and treat common areas like the dining hall, kitchen areas and activities room. S3 stated pest control sprays the common areas in the evenings, less foot traffic in common areas at night. Five (5) rooms treated for pest during the daytime hours when residents are awake. Five of eight residents stated they have not observed any pests like roaches and vermin in their rooms or the common areas as of late. Three of eight residents interviewed stated the observing the pest control technician performing their duties. Based on interviews, record review and observations, 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: Staff do not ensure facility is clean. It is alleged that the staff are not keeping the facility clean and that staff are not ensuring residents have clean clothes. Five of five staff deny this allegation, staff stated the residents are being assisted with their laundry services, laundry staff assist residents sort, wash, dry and fold their clothes. Some residents do own laundry; some residents have family who take laundry home. Staff also stated they will assist residents to hang the laundry in residents’ closet. Six of eight residents stated the staff assists with keeping their rooms clean, housekeeping is performed three times per week, rooms are swept, mopped and trash is removed. Laundry schedule days are assigned to residents upon move-in. Staff stated residents’ laundry is cleaned regularly and sometime extra washing is done as needed. Based on interviews and observations, 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.

An exit interview was conducted, and a copy of this licensing complaint report was provided to Lisa Pham, Director of Operations.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

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