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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603535
Report Date: 08/04/2026
Date Signed: 08/04/2026 02:37:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
07/30/2026 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260730090302
FACILITY NAME:SANTA ANITA ASSISTED LIVINGFACILITY NUMBER:
198603535
ADMINISTRATOR:ALISA DEANFACILITY TYPE:
740
ADDRESS:5600 GRACEWOOD AVENUETELEPHONE:
(626) 442-8410
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY:150CENSUS: 142DATE:
08/04/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Alisa Dean - AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff speaks inappropriately to resident
Staff withhold pain medication from resident
Staff do not safeguard resident's belongings
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Tena Herrera conducted an unannounced complaint visit to investigate the above allegations. LPA met with Administrator Alisa Dean and explained the purpose of today's visit.

The investigation consisted of the following:

LPA obtained copies of Staff and Residnet Rosters, Conducted and Medication Review and Interviewed 5 Staff (S1-S5) and 10 Residents (R1-R10).

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
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-20260730090302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SANTA ANITA ASSISTED LIVING
FACILITY NUMBER: 198603535
VISIT DATE: 08/04/2026
NARRATIVE
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Allegation: Staff speaks inappropriately to resident
It is alleged that S1 often speaks to residents disrespectfully, mocking, belittling, and dismissing requests for help. LPA interviewed 5 staff and each denied the allegation, stating that they have never spoken to residents inappropriately and have not seen other staff speak to them inappropriately, disrespectfully or being dismissive towards residents. Interviews with S1 and S2 revealed that S1 has a stronger voice that carries a louder tone but that S1 is not disrespectful or dismissive when speaking to the residents. LPA interviewed 10 residents and 9 out of 10 residents denied the allegation and stated they have never been spoken to inappropriately by staff and have not seen staff do this to other residents.
Allegation: Staff withhold pain medication from resident
It is alleged that S1 makes residents wait extra time, often one or two hours, for pain medication. LPA conducted a medication review and all medications for R1 including pain medication were accounted for and no issues were observed. LPA interviewed 5 Staff and each denied the allegation and stated that they do not hold medication for residents, interviews with S1 and S4 revealed that if medication is held it is because it is a PRN that has specific instructions where they cannot administer another dose within a certain timeframe, if resident’s ask for their medication prior to when they are able to administer they hold the medication and let the resident know they must wait and with what time they will be able to administer more medication, if pain is persistent they are offered to be transported to the hospital for further assessment . LPA interviewed 10 Residents and 8 out of 10 residents denied the allegation and stated they receive all their medication in a timely manner, and PRN is given rather quickly after asking for it.
Allegation: Staff do not safeguard resident's belongings
It is alleged that residents’ personal belongings go missing and S1 dismisses their concerns, stating they are just imagining things. LPA interviewed 5 Staff and each denied the allegation, staff stated that sometimes residents will make claims that belongings are missing and they will help the resident find their belongings, most times it is misplaced in their room or left in a common area and returned to the resident. S1 stated they do not dismiss these concerns and assist in finding, will look in common areas that the resident was previously at and search the lost and found, typically the item is found and returned to the resident. LPA interviewed 10 Residents and 8 out of 10 residents denied the allegation and stated they have never had items missing, residents stated at times they may misplace an item but staff will assist in finding their missing item.
Based on statements and interviews conducted with staff/residents, and review of resident files, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
LIC9099 (FAS) - (06/04)
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