198603821-1-6-2026-28-AS-RORN-DQKMHT-20260122083800

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603821
Report Date: 01/06/2026
Date Signed: 01/06/2026 06:30:37 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
10/30/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251030101928

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: 89	DATE:	01/06/2026
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Jennifer Zhang, Administrator		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Facility staff handled resident in an aggressive manner, resulting in bruises.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit regarding the allegation above. LPA met with Administrator Jennifer Zhang and explained the purpose of the visit.

The investigation consisted of the following:

On 10/31/25, LPA S. Vaid conducted the initial visit and obtained the staff roster, resident roster, and documents for Resident #1 (R1) such as the face-sheet, physicians report, preplacement, medication list, needs and services plan. Some interviews were held with the residents and staff. On 1/5/26, LPA Cynthia Chan interviewed three (3) staff and one (1) resident. During the visit today, LPA Chan interviewed seven (7) residents. Additional staff interviews were held via telephone.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026

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-20251030101928

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: 01/06/2026

NARRATIVE

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The investigation revealed the following:

Allegation - Facility staff handled resident in an aggressive manner, resulting in bruises. It is alleged that two staff were aggressive with Resident #1 (R1) while trying to get the resident out of bed and after informing staff that R1 did not want to shower. Per the administrator, on 10/29/25, she was made aware of the bruises on R1. The police came out the following day and spoke to residents and staff. The case was closed as there was no evidence of abuse or staff handling resident roughly. Staff interviewed stated that they have observed bruises on R1 when resident moved in September 2025. LPA obtained copies of the body check forms which indicated the areas where redness/bruises were found. Per staff, there are normally two caregivers assisting R1 during showers. Staff have not observed any caregivers handling the residents roughly. Staff stated that R1 gets up on own and could have hit the arm on surrounding objects which caused the bruising. Staff also stated that they receive training on how to properly lift/assist the residents to prevent bruising.

LPA interviewed a total of eight (8) residents. R1 stated that caregivers have been rough with the resident, but could not provide staff names or specific details. The other seven (7) residents have not observed any staff being aggressive with residents. The residents, who need assistance with dressing and/or showering, stated the staff handle them carefully and have not caused any bruises. Based on the information gathered, there is insufficient evidence to prove that the bruises were caused by staff being aggressive with the resident.

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 with the administrator. A copy of this report, along with the appeal rights, was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Cynthia D Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026

LIC9099 (FAS) - (06/04)

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