198603535-12-4-2025-28-AS-WSHO-DR7935-20260210220009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603535
Report Date: 12/04/2025
Date Signed: 12/04/2025 02:18:55 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
12/01/2025 and conducted by Evaluator Mayra Cota

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251201123912

FACILITY NAME:	SANTA ANITA ASSISTED LIVING		FACILITY NUMBER:	198603535
ADMINISTRATOR:	JACQUELINE CORTEZ		FACILITY TYPE:	740
ADDRESS:	5600 GRACEWOOD AVENUE		TELEPHONE:	(626) 442-8410
CITY:	TEMPLE CITY	STATE: CA	ZIP CODE:	91780
CAPACITY:	150	CENSUS: 148	DATE:	12/04/2025
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Jacqueline Cortez, Executive Director		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Residents are being denied access to dining room.
Staff are isolating residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Mayra Cota, conducted an unnanounced 10-day complaint visit to investigate the above-mentioned allegations. LPA, met with Jacqueline Cortez, Executive Director and the reason for the visit was explained.

The investigation consisted of the following:

During today's visit, LPA, obtained copies of staff and resident rosters, toured common areas of the facility, conducted interviews with Staff 1 - Staff 8 (S1-S8) and Resident 1 - Resident 13 (R1-R13).

The investigation revealed the following:

****Continues on LIC-9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

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-20251201123912

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: SANTA ANITA ASSISTED LIVING	FACILITY NUMBER: 198603535
	VISIT DATE: 12/04/2025

NARRATIVE

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Regarding: Residents are being denied access to dining room.
It is alleged that on Thursday evening, the dining room is closed and that this would be happening on Thanksgiving.
Staff deny the allegation. Interviews with (8) out of (8) staff revealed that both dining rooms in the facility are open to residents 24 hours a day, seven days a week. Staff indicated that on Thursday, November 27, 2025, Thanksgiving Day, both facility dining rooms remained open after full-service breakfast, lunch and dinner delivery to residents’ rooms were conducted. Staff further indicated that although the facility kitchen closed after 3:00 p.m. on Thursday, November 27, 2025, Thanksgiving Day, residents were not denied access to the two dining rooms in the facility. Staff stated that they did not receive complaints regarding the dining room not being open on Thursday evening or at Thanksgiving. Interviews with (13) out of (13) residents revealed that both dining rooms in the facility never close. Interviews with (11) residents indicated that they have never been denied access to the two dining rooms in the facility. Two (2) residents indicated that they do not eat in the facility dining rooms; however, they have not observed the dining rooms closed. Residents further indicated that both dining rooms are always open, even on holidays like Thanksgiving. Information obtained during interviews with staff and residents does not corroborate the allegation.

Regarding: Staff are isolating residents.

It is alleged that residents are being isolated on Thursday evenings and staff are partying at that time and should be allowed to be with friends and family on Thanksgiving.Staff deny the allegation. Interviews with (8) out of (8) staff revealed that staff are not isolating residents on Thursday evenings or any other day of the week. Staff indicated that staff do not hold parties at the facility. Staff further indicated that they do not prevent residents from being with friends and family on Thanksgiving or any other day of the year. Staff stated that isolating residents and preventing them from being with friends and family goes against residents’ rights and as mandated reporters would report any indications of resident isolation to the proper authorities. Staff indicated that they have not received any complaints from residents regarding being isolated or being prevented by staff from being with friends and family. Staff also stated that they have not received complaints from residents regarding staff having parties at the facility. Interviews with (13) out of (13) residents revealed that they are not isolated by staff on Thursdays or any other day of the week. Residents indicated that they have not observed staff having parties at the facility. Residents also indicated that they are not prevented from being with friends and family at any time. Information obtained during staff and resident interviews does not corroborate the allegation.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Jacqueline Cortez, Executive Director, and a copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025

LIC9099 (FAS) - (06/04)

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