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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603535
Report Date: 09/02/2026
Date Signed: 09/02/2026 12:22:19 PM

Document Has Been Signed on 09/02/2026 12:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 LIVINGFACILITY NUMBER:
198603535
ADMINISTRATOR/
DIRECTOR:		ALISA DEANFACILITY TYPE:
740
ADDRESS:5600 GRACEWOOD AVENUETELEPHONE:
(626) 442-8410
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY: 150CENSUS: 147DATE:
09/02/2026
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Alisa Dean and Randy Herzig TIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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An informal meeting was held today at the Monterey Park Adult and Senior Care Licensing office. Adeline Ho, Licensing Program Manager (LPM), Mayra Cota, Licensing Program Analyst (LPA) and Nune Margaryan Licensing Program Analyst (LPA) met with Alisa Dean, Executive Director, Randy Herzig, Regional Program Manager, Adrianne Hurd, Regional Wellness Director, Chantelle Hudson, Corporate Director of Wellness and Leslie Quintanar, Chief Operating Officer. The reason for the meeting was explained to the participants.

The purpose of the meeting was to discuss the number of complaints the department has been receiving for the past two years. The department has noted a significant increase in complaints and has deemed it necessary for the facility to develop a mediation plan to address concerns and resolve underlying issues.



The following was discussed during the office meeting:

Complaint numbers for January 2024 – September 2026.
· Year 2024 – 12 complaints
· Year 2025 - 37 complaints
· January to September 2026 – 38 complaints

Updates regarding facility staff changes:
· Alisa Dean took over as Executive Director in May 2026.
· Wellness Director vacancy has been filled as of September 2026.
· New position created: Resident Relations Coordinator was hired June 2026.
***Continues on LIC 809-C***
Wei Siew Ho
Mayra Cota
DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 09/02/2026
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Reviewed facility’s compliance for past substantiated complaints and citations issued during past two annual visits (main areas of concern).
· Medication mismanagement has been noted during complaint investigations and annual visits. Citations have been issued and Civil Penalties assessed.
· Facility being short-staffed and retention challenges.
Addressing residents’ concerns:
· Resident voice and families’ feedback.
· Resident Relations Coordinator position created and address resident issues and concerns. Position brought in for additional support by creating a liaison between facility staff and residents.
· Additional psychological services for residents are provided monthly and as needed.
· Monthly in-service training for caregivers to address challenging behaviors has been implemented this month.
· Staff conduct Town Hall meetings with residents to provide a platform in which they can share suggestions and voice their concerns.
· Executive Director has an open-door policy in which residents can discuss any issues they feel need to be addressed.
· Clinical nurses will be visiting the facility to provide additional services to residents who may be experiencing health declination.
· Ombudsman is visiting facility two times a week to talk to residents openly.
Licensee agreed to the following: Plan of Action
· Facility has acknowledged concerns and has committed to finding resolutions to those concerns. Addressing resident concerns through a validation process.
· Resident Council communication to mitigate resident issues.
· Assistant ED has been hired to assist Alisa Dean, Executive Director, to help with follow ups, quality assurance and also provide additional structure.
· Facility’s partnered pharmacy will be coming in to consolidate residents’ medication.
· Participation in Technical Support Program and in-service training for med-techs to ensure proper medication management.
· Executive Director has agreed to conduct spot checks.
· For frequent callers, facility will provide time to talk to staff individually regarding their concerns.

***Continues on LIC 809-C page 2***
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 09/02/2026
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Department recommendation:
· Continued partnership with CCL.
· Conduct spot-checks in areas which need additional monitoring.
· Conduct reassessments in a timely manner and reach out to primary care physicians when there is a change of condition.

Note: Facility stated that the newly installed Wonderguard does not include delay egress. They will continue to comply with Tittle 22 Regulations.

Facility was advised to continue making improvements, follow facility policies and procedures and adhere to regulations to maintain compliance. If operations do not improve, it could lead to a Non-Compliance Conference (NCC).

Exit interview was conducted and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026
LIC809 (FAS) - (06/04)
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