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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603445
Report Date: 09/24/2021
Date Signed: 09/24/2021 10:47:45 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/15/2021 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20210915132121
FACILITY NAME:ARCADIAN, THEFACILITY NUMBER:
198603445
ADMINISTRATOR:STARNES, CINDIFACILITY TYPE:
740
ADDRESS:753 W DUARTE ROADTELEPHONE:
(626) 445-7981
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:120CENSUS: 68DATE:
09/24/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Amber Branconier (Licensee) TIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
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9
Residents are not provided assistance when needed.
Facility does not have hot water.
Facility is in disrepair.
Food service is inadequate.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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12
13
Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint visit to the facility. Upon arrival, LPA met with Amber Branconier (Licensee) and explained the purpose of the visit.

During today's visit, LPA obtained a copy of the Staff and Resident Roster and interviewed Staff #1 in the office at 10:25 am. Record review and interview with Staff #1 indicate that Resident/Victim does not reside in the facility nor have Resident/Victim ever resided in the facility.

This agency has investigated the complaint alleging: Residents are not provided assistance when needed.
Facility does not have hot water. Facility is in disrepair. Food service is inadequate. We have found that the complaint was unfounded, meaning that the allegations are false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted with Amber Branconier and a copy of this report provided.
Unfounded
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
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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