Arcadia Retirement Village is a residential care home for the elderly (RCFE) in Arcadia, Los Angeles County, California — state license #198603401, with a licensed capacity of 200, listed as closed, change of ownership in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 114 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated January 10, 2026 — published below in full, verbatim and unscored.

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Arcadia Retirement Village

The state record lists this licence as “Closed, Change of Ownership”. A closed licence cannot admit residents. We keep closed licences published because “is this place licensed?” deserves an honest answer.

The state also licenses a home at this address today: Arcadia Retirement Village · licence #198603824

No photo on file yet

No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.

Residential care home for the elderly (RCFE) · Large community, 200 residents · Arcadia, CA · Los Angeles County
Closed in state recordWheelchairHospiceBedriddenMemory care not on file
No openings reportedBeds change hands in days · we confirm by phone before any referral
License #198603401, held since 2021 · read from the California state record on August 2, 2026 ·See on State Site →
607 West Duarte Rd · Arcadia, Los Angeles County
Phone
(626) 447-6070
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →

Wheelchair / non-ambulatoryApproved for 149 residents
Dementia / memory careNot on file — ask the home
Hospice careApproved for 25 residents
Bedridden careApproved for 15 residents

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

See an error in these clearances? Report it — free →

What the state record says, word for word
AGE RANGE 60 AND OVER. 149 NON-AMBULATORY, OF WHICH 15 MAY BE BEDRIDDEN. ROOMS 101-119 APPROVED FOR BEDRIDDEN. HOSPICE WAIVER FOR 25.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 143 times and filed 114 documents. The most recent is a complaint investigation report, dated January 10, 2026.

Most recent state visit
January 10, 2026
Occupancy at the November 10, 2025 visit
65 of 200 beds

The state's published file for this home includes 9 documents with transcribed findings, dated July 8, 2021 to November 10, 2025. 9 of the 9 carry the state's recorded outcome word: “Substantiated” (2), “Unsubstantiated” (7). 9 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 9 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 72 of 114 documentsFull record on the state’s site →
20261 state visit · 1 document
Jan 10, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

202526 state visits · 34 documents
Dec 23, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 23, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 23, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 25, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 10, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are not allowing residents to have visitors.

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegation.LPA met with Administrator, Virgilio Agas and explained the reason for the visit. The investigation consisted of the following: LPA obtained copies of Resident & Staff Rosters. LPA toured the facility including the common areas. LPA reviewed and obtained copies of the following documents: Visitation policy, House rules, Sign in/out sheet (November 2025), files of Resident #1 (R1) Identification and Emergency Information/Face sheet, Pre-appraisal information, Appraisal Needs and Services Plan, and Physician's Report, Staff #1 (S1) files such as Criminal Background/Exemption (August 13, 2024), Court proceedings (June 27, 2024), Unusual Incident/Injury Report (SIR dated 11/03/2025), and text message screenshot (Nov. 2025). Between 10:00am - 12:15pm, LPA interviewed Staff #2 (S2) - Staff #6 (S6) and Resident #1 (R1) - Resident #7 (R7). LPA also interviewed former stathe state’s words, verbatim · CDSS document, Nov 10, 2025 · control 28-AS-20251107115351
Nov 8, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff speak to a resident in an inappropriate manner.

Licensing Program Analyst (LPA) Alberto Lopez conducted subsequent unannounced complaint visit to deliver findings for the above allegations. LPA met with Gretchen Ilagan, Med- Tech and discussed the purpose of the visit. On 11/04/2025 LPA interviewed nine (9) (staff S#1 - S#9), eight (8) residents (R#1 - R#8), LPA obtained copies of the following documents: staff roster, resident roster, R2 ‘s physicians report, and appraisal needs and service plan. LPA also inspected five (6) random rooms and took tour of common areas. The investigation revealed regarding allegation: Staff speak to a resident in an inappropriate manner. It is alleged that staff member spoke to resident inappropriately. LPA interviewed eight (8) residents and six (6) of eight (8) residents could not corroborate the allegation. LPA interviewed nine (9) staff and seven (7) of nine (9) staff denied the allegation. (Continued on 9099C) Substantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2025 · control 28-AS-20251031144350
Oct 30, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 30, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 24, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 22, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent residents from using illegal drugs.

Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit at the facility to investigate the above-mentioned allegation. LPA met with Administrator Virgilio "Gil" Agas, and explained the purpose for the visit. On 4/14/25 LPA Nune Margaryan conducted an initial visita and obtained a copy of resident/staff rosters, conducted a tour of physical plant and common areas with Administrator, and obtained the following documents from Resident #1(R1) file. From 2/14/25 to 3/25/25 an investigator from the Investigations Bureau (P.Miles) conducted an investigaion and sent complaint back to the Regional Office for further investigation. During todays visit 9/22/25 LPA Herrera conducted a subsequent visit, obtained copies of the staff/resident rosters, copy of Special Incident Report (SIR) from R1's file, toured facility, interviewed 3 staff (S1-S3) and 9 residents (R1-R9). (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 22, 2025 · control 28-AS-20250213144252
Sep 22, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not ensure resident was transported to medical appointment in a timely manner.

Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit at the facility to investigate the above-mentioned allegation. LPA met with Administrator Virgilio "Gil" Agas, and explained the purpose for the visit. On 5/30/25 LPA Nicol Wesley conducted the initial visit and obtained copies of the staff/resident rosters, requested a log for the individuals who can not schedule/arrange medical appointments, interviewed staff and residents. During todays visit 9/22/25 LPA Herrera obtained copies of the staff/resident rosters, copy of Resident #1's (R1) Hermodialysis Flowsheets for the month of May 2025 were provided, LPA toured facility, interviewed 3 staff (S1-S3) and 9 residents (R1-R9). (Continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 22, 2025 · control 28-AS-20250522144737
Sep 16, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Lack of staff supervision resulting in resident being physically abused by another resident. Lack of staff supervision resulting in resident being mentally/verbally abused by another resident. Staff did not provide a safe environment for resident

***This licensing report supersedes the licensing report issued on 7/17/2025. The licensing report is being redelivered in order to clarify information obtained during the investigation. The findings remain the same*** On today’s visit, Licensing Program Analyst (LPA) Vaid conducted a follow-up unannounced complaint visit and met with Administrator Gil Agas, the purpose of the visit was discussed. On 07/17/25, LPA Vaid conducted 10-day unannounced complaint visit and met with Administrator Gil Agas Administrator. The investigation consisted of the following: LPA Vaid requested, obtained and reviewed the staff/ resident’s roster, face-sheet, physicians report, medications list, admissions agreement, IPPs and pre-appraisals for two (2) residents. List of shared and single rooms. LPA toured the facility and interviewed staff/residents and did not observe any health and safety concerns. CONTINUED ON PAGE 9099C......................... Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 16, 2025 · control 28-AS-20250711125928
Aug 30, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 24, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 11, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not safeguard resident's personal belongings Staff did not prevent resident from engaging in inappropriate behaviors

Licensing Program Analysts (LPAs) Vaid and Mallett conducted 10-day unannounced complaint visit, was met by Gil Agas Administrator and the purpose of the visit was discussed. The investigation consisted of the following: LPA Vaid requested, obtained and reviewed the staff/ residents roster, face-sheet, physicians report, medications list, admissions agreement, IPPs and pre-appraisals for two (2) residents’. Contact information for R1s ALW coordinator. Copy of residents LIC 621. Hospice care plan for two (2) residents. Toured the facility interviewed staff/residents. Did not observe any health and safety concerns. Regarding the allegation: Staff did not safeguard resident's personal belongings. It is alleged that the facility staff did not safeguard resident’s belongings from being taken by other residents. It is further alleged that resident is taking other residents’ property while resident is away from their room. CONTINUED ON 9099C............... Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 11, 2025 · control 28-AS-20250804110351
Aug 11, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 31, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 22, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 17, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 19, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 22, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 20, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 19, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 15, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 29, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 29, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 27, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 20, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 28, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 28, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 21, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 13, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 13, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 2, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

202423 state visits · 31 documents
Dec 31, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 31, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 24, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 23, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 20, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 3, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 19, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 15, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 14, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 5, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 22, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 22, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 18, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 18, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 16, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 16, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 19, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 17, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 3, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 3, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 8, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 8, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 13, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 7, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 3, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 18, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 15, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 12, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 12, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 2, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 2, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20235 state visits · 6 documents
Dec 28, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 21, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 20, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 20, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 12, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 31, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations19typical 1
Type B citations29typical 1
Substantiated complaints41typical 2
Total complaints88typical 7
State visits on file143typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2021.
Year-by-year trend
YearVisitsDocumentsSubstantiated20261102025263412024233102023152002022152302021661
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

$5,000$7,500 /mo
our estimate — Los Angeles County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one.
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home is on the DHCS waiver list (checked August 9, 2026). Details →

Free for families · We never sell your information · Homes never pay to appear, and rankings are never affected by fees.

Cost range look wrong? Report it — free →Medi-Cal waiver fact wrong? Report it — free →

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
Claim your home → · See something wrong? → · How we source every fact →

Is Arcadia Retirement Village licensed?

No — not currently. The CDSS state record checked August 2, 2026 lists Arcadia Retirement Village in Arcadia (Los Angeles County), California license #198603401, as “Closed, Change Of Ownership, formerly licensed for 200 residents. State records list 114 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated January 10, 2026, appears in the inspection record on this page.

Can Arcadia Retirement Village care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Arcadia Retirement Village with clearances for wheelchair / non-ambulatory, hospice care, and bedridden; it does not list dementia / memory care. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. 149 NON-AMBULATORY, OF WHICH 15 MAY BE BEDRIDDEN. ROOMS 101-119 APPROVED FOR BEDRIDDEN. HOSPICE WAIVER FOR 25.

How much does Arcadia Retirement Village cost?

California's public licensing record does not include Arcadia Retirement Village's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Los Angeles County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Arcadia Retirement Village accept Medi-Cal or the Assisted Living Waiver?

Yes — Medi-Cal can help pay for care at Arcadia Retirement Village through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.

Medi-Cal / ALW homes in Los Angeles County →Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

65 of 200 beds occupied (33%) when the state visited on November 10, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Arcadia Retirement Village?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 143 state visits and 114 dated documents since 2021 for Arcadia Retirement Village; 9 complaint-investigation narratives are transcribed verbatim below. The most recent, dated November 10, 2025, records an allegation the state marked “Unsubstantiated. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

9 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not allowing residents to have visitors.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegation.LPA met with Administrator, Virgilio Agas and explained the reason for the visit. The investigation consisted of the following: LPA obtained copies of Resident & Staff Rosters. LPA toured the facility including the common areas. LPA reviewed and obtained copies of the following documents: Visitation policy, House rules, Sign in/out sheet (November 2025), files of Resident #1 (R1) Identification and Emergency Information/Face sheet, Pre-appraisal information, Appraisal Needs and Services Plan, and Physician's Report, Staff #1 (S1) files such as Criminal Background/Exemption (August 13, 2024), Court proceedings (June 27, 2024), Unusual Incident/Injury Report (SIR dated 11/03/2025), and text message screenshot (Nov. 2025). Between 10:00am - 12:15pm, LPA interviewed Staff #2 (S2) - Staff #6 (S6) and Resident #1 (R1) - Resident #7 (R7). LPA also interviewed former staCDSS inspection report, November 10, 2025 · control 28-AS-20251107115351
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff speak to a resident in an inappropriate manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Alberto Lopez conducted subsequent unannounced complaint visit to deliver findings for the above allegations. LPA met with Gretchen Ilagan, Med- Tech and discussed the purpose of the visit. On 11/04/2025 LPA interviewed nine (9) (staff S#1 - S#9), eight (8) residents (R#1 - R#8), LPA obtained copies of the following documents: staff roster, resident roster, R2 ‘s physicians report, and appraisal needs and service plan. LPA also inspected five (6) random rooms and took tour of common areas. The investigation revealed regarding allegation: Staff speak to a resident in an inappropriate manner. It is alleged that staff member spoke to resident inappropriately. LPA interviewed eight (8) residents and six (6) of eight (8) residents could not corroborate the allegation. LPA interviewed nine (9) staff and seven (7) of nine (9) staff denied the allegation. (Continued on 9099C) SubstantiatedCDSS inspection report, November 8, 2025 · control 28-AS-20251031144350
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent residents from using illegal drugs.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit at the facility to investigate the above-mentioned allegation. LPA met with Administrator Virgilio "Gil" Agas, and explained the purpose for the visit. On 4/14/25 LPA Nune Margaryan conducted an initial visita and obtained a copy of resident/staff rosters, conducted a tour of physical plant and common areas with Administrator, and obtained the following documents from Resident #1(R1) file. From 2/14/25 to 3/25/25 an investigator from the Investigations Bureau (P.Miles) conducted an investigaion and sent complaint back to the Regional Office for further investigation. During todays visit 9/22/25 LPA Herrera conducted a subsequent visit, obtained copies of the staff/resident rosters, copy of Special Incident Report (SIR) from R1's file, toured facility, interviewed 3 staff (S1-S3) and 9 residents (R1-R9). (Continued on LIC9099-C) UnsubstantiatedCDSS inspection report, September 22, 2025 · control 28-AS-20250213144252
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not ensure resident was transported to medical appointment in a timely manner.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit at the facility to investigate the above-mentioned allegation. LPA met with Administrator Virgilio "Gil" Agas, and explained the purpose for the visit. On 5/30/25 LPA Nicol Wesley conducted the initial visit and obtained copies of the staff/resident rosters, requested a log for the individuals who can not schedule/arrange medical appointments, interviewed staff and residents. During todays visit 9/22/25 LPA Herrera obtained copies of the staff/resident rosters, copy of Resident #1's (R1) Hermodialysis Flowsheets for the month of May 2025 were provided, LPA toured facility, interviewed 3 staff (S1-S3) and 9 residents (R1-R9). (Continued on LIC9099-C) UnsubstantiatedCDSS inspection report, September 22, 2025 · control 28-AS-20250522144737
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLack of staff supervision resulting in resident being physically abused by another resident. Lack of staff supervision resulting in resident being mentally/verbally abused by another resident. Staff did not provide a safe environment for resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
***This licensing report supersedes the licensing report issued on 7/17/2025. The licensing report is being redelivered in order to clarify information obtained during the investigation. The findings remain the same*** On today’s visit, Licensing Program Analyst (LPA) Vaid conducted a follow-up unannounced complaint visit and met with Administrator Gil Agas, the purpose of the visit was discussed. On 07/17/25, LPA Vaid conducted 10-day unannounced complaint visit and met with Administrator Gil Agas Administrator. The investigation consisted of the following: LPA Vaid requested, obtained and reviewed the staff/ resident’s roster, face-sheet, physicians report, medications list, admissions agreement, IPPs and pre-appraisals for two (2) residents. List of shared and single rooms. LPA toured the facility and interviewed staff/residents and did not observe any health and safety concerns. CONTINUED ON PAGE 9099C......................... UnsubstantiatedCDSS inspection report, September 16, 2025 · control 28-AS-20250711125928
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not safeguard resident's personal belongings Staff did not prevent resident from engaging in inappropriate behaviors
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analysts (LPAs) Vaid and Mallett conducted 10-day unannounced complaint visit, was met by Gil Agas Administrator and the purpose of the visit was discussed. The investigation consisted of the following: LPA Vaid requested, obtained and reviewed the staff/ residents roster, face-sheet, physicians report, medications list, admissions agreement, IPPs and pre-appraisals for two (2) residents’. Contact information for R1s ALW coordinator. Copy of residents LIC 621. Hospice care plan for two (2) residents. Toured the facility interviewed staff/residents. Did not observe any health and safety concerns. Regarding the allegation: Staff did not safeguard resident's personal belongings. It is alleged that the facility staff did not safeguard resident’s belongings from being taken by other residents. It is further alleged that resident is taking other residents’ property while resident is away from their room. CONTINUED ON 9099C............... UnsubstantiatedCDSS inspection report, August 11, 2025 · control 28-AS-20250804110351

2021

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff threatened resident. Staff refused to send resident's medical paperwork to resident's primary care physician
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Tao conducted an initial unannounced complaint visit to investigate the above allegations. LPA was allowed entry by Administrator. LPA explained the purpose of today's visit. The following occurred during this investigation: LPA obtained copies of the Staff and Resident Rosters and toured the physical plant. LPA reviewed Resident files for Resident #1 (R1) and obtained relevant information. Between 11:35am- 12:15pm, LPA interviewed Staff #1-#4 (S1-S4) and Residents #1-#6 (R1-R6). The investigation revealed the following: In regards to allegation " Staff threatened resident," it was alleged that S1 said to R1 not to file anymore complaint against facility and R1 can leave if R1 does not like the facility. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed residents can file complaint at residents’ will. Five (5) out of six (6) residents could not corroborate the allegation. (- Continued on LIC 9099-C -) UnsubstantiatedCDSS inspection report, September 8, 2021 · control 28-AS-20210831103704
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility has bed bugs.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analysts (LPA) Tao, conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPAs met with Administrator Assistant, Justin Lee and spoke with Administrator Gil Agas over the phone. LPA explained the purpose of today’s visit is to discuss the above mentioned allegation. In regards to the allegation: Facility has bed bugs. LPA reviewed pest control invoice and spoke with pest control company, both stated the facility received bedbug treatment on August 10, 2021. LPA spoke with administrator and confirmed the facility had bedbug issue on August 10, 2021. Based on LPA interview which were conducted and record reviews, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report provided to Administrator assistant, JustinCDSS inspection report, August 23, 2021 · control 28-AS-20210816142932
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility failed to report incident to Long term care ombudsman after residents engaged in physical altercation with each other.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analysts (LPA) Tao, conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPAs met with Administrator, Virgilio Agas. LPAs explained the purpose of today’s visit is to discuss the above mentioned allegation. The investigation consisted of resident interviews, staff interviews, resident file review and in-serving training review. In regard to the allegation: Facility failed to report an incident to Long term care ombudsman after residents engaged in physical altercation with each other. During today's visit, LPAs interviewed the Staff and Residents. Resident, victim, did not recall details regarding the incident. Two (2) out of four (4) residents stated they did not aware of any resident engaged in a fight. (-continued in LIC 9099 C-) UnsubstantiatedCDSS inspection report, July 8, 2021 · control 28-AS-20210629124250

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 143 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
19
typical for this size: 1
Type B citations
29
typical for this size: 1
Substantiated complaints
41
typical for this size: 2
Total complaints
88
typical for this size: 7
State visits on file
143
typical for this size: 19
See the full inspection record on the state's site →
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