198603535-8-27-2026-28-AS-PMAA-DXKLVC-20260903090516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603535
Report Date: 08/27/2026
Date Signed: 08/27/2026 02:45:29 PM

Unfounded

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
08/25/2026 and conducted by Evaluator Blanca Gonzalez

COMPLAINT CONTROL NUMBER: 28-AS-20260825125213

FACILITY NAME:	SANTA ANITA ASSISTED LIVING		FACILITY NUMBER:	198603535
ADMINISTRATOR:	ALISA DEAN		FACILITY TYPE:	740
ADDRESS:	5600 GRACEWOOD AVENUE		TELEPHONE:	(626) 442-8410
CITY:	TEMPLE CITY	STATE: CA	ZIP CODE:	91780
CAPACITY:	150	CENSUS: 145	DATE:	08/27/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Executive Director Alisa Dean		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
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5
6
7
8
9

Neglect/Lack of Care and Supervision

INVESTIGATION FINDINGS:

1
2
3
4
5
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7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced complaint investigation visit regarding the above allegation. LPA Gonzalez was greeted by staff, and the purpose of the visit was explained. Executive Director Alisa Dean arrived shortly after.
The investigation consisted of the following: LPA obtained and reviewed copies of resident rosters and discharge forms. LPA interviewed staff #1-11 (S1- S11) and residents #2-12 (R2-R12).
The investigation revealed the following: Regarding allegation “Neglect/Lack of Care and Supervision,” it was reported that R1 sustained serious injuries and was hospitalized after being dropped from a Hoyer. Per record review, LPA observed that R1 was not a resident at this facility. Interviews with S1-S11 and R2-R11 confirmed that there was not a resident by that name at the facility.
The department has investigated the complaint alleging Neglect/Lack of Care and Supervision. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to Executive Director Alisa Dean.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026

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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