Inspection Reports for
The Arcadian

753 W DUARTE ROAD, ARCADIA, CA, 91007

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

45% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 87% occupied

Based on a March 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Sep 2021 Jan 2023 Apr 2024 Dec 2024 May 2025 Oct 2025 Mar 2026

Inspection Report

Census: 104 Capacity: 120 Deficiencies: 0 Date: Mar 5, 2026

Visit Reason
Licensing Program Analyst Vaid conducted an unannounced quarterly inspection visit to evaluate compliance with licensing requirements and assess the facility's conditions.

Findings
The facility was inspected including common areas, kitchen, and seven resident bedrooms. No health and safety concerns were observed. Fire safety equipment was operable and food supplies were adequate.

Report Facts
Hospice Waivers on file: 5 Resident bedrooms inspected: 7

Employees mentioned
NameTitleContext
Hardie LinAdministratorMet with Licensing Program Analyst during inspection and assisted with the visit
Sanjay VaidLicensing Program AnalystConducted the unannounced quarterly inspection visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 108 Capacity: 120 Deficiencies: 0 Date: Dec 4, 2025

Visit Reason
The visit was conducted to investigate complaints alleging that staff did not prevent a resident from developing pressure injuries and that staff were not following reporting requirements.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to prevent pressure injuries and failure to follow reporting requirements. Interviews and documentation review showed the wound was being treated by Home Health and the facility was providing appropriate care and reporting.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, the resident's Power of Attorney, Home Health Representative, and Primary Care Physician indicated that wound care was appropriately managed and reporting requirements were followed.

Report Facts
Facility Capacity: 120 Resident Census: 108

Employees mentioned
NameTitleContext
Hardie LinAdministratorInterviewed during the complaint investigation
Glenn TruemanLicensing Program AnalystConducted the complaint investigation

Inspection Report

Routine
Census: 105 Capacity: 120 Deficiencies: 0 Date: Oct 14, 2025

Visit Reason
An unannounced quarterly inspection visit was conducted to evaluate compliance with licensing requirements and facility conditions.

Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. Medications were securely stored, resident rooms and common areas were hazard-free, and safety equipment was operable. No deficiencies were explicitly cited in the report.

Report Facts
Hospice Waivers on file: 5 Fire Drill Date: Oct 6, 2025 Fire Extinguisher Last Service Date: Jun 23, 2023

Employees mentioned
NameTitleContext
Hardie LinAdministratorMet with Licensing Program Analyst during inspection and assisted with the visit
Sanjay VaidLicensing Program AnalystConducted the inspection visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 102 Capacity: 120 Deficiencies: 0 Date: Sep 30, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not prevent a resident from developing pressure injuries and that staff were not following reporting requirements.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to prevent pressure injuries and failure to follow reporting requirements. Interviews and documentation review did not support the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, the resident's Power of Attorney, Home Health representatives, and the Primary Care Physician indicated that care was appropriate and reporting requirements were met.

Report Facts
Capacity: 120 Census: 102

Employees mentioned
NameTitleContext
Glenn TruemanLicensing Program AnalystConducted the complaint investigation
Hardie LinAdministratorFacility administrator met during investigation
Amber BranconierLicenseeArrived during investigation and interviewed

Inspection Report

Complaint Investigation
Census: 105 Capacity: 120 Deficiencies: 1 Date: May 30, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that due to staff neglect, a resident sustained a serious injury.

Complaint Details
The complaint alleged that due to staff neglect, a resident sustained a serious injury when a caregiver closed a bathroom door on the resident's hand on 02/21/2024. The allegation was substantiated based on interviews and record review.
Findings
The investigation substantiated the allegation that a caregiver accidentally closed a bathroom door on Resident #1's hand, causing a serious injury requiring partial amputation of the finger. Staff training was provided immediately after the incident to prevent recurrence.

Deficiencies (1)
CCR 87468.2(a)(8) requires residents to be free from neglect. Staff failed to notice Resident #1's hand in the doorway, resulting in partial amputation of the finger and posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500

Employees mentioned
NameTitleContext
Hardie LinAdministratorAcknowledged the incident and provided information during the investigation.
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation visit.

Inspection Report

Census: 102 Capacity: 120 Deficiencies: 0 Date: May 20, 2025

Visit Reason
Licensing Program Analyst Cynthia Chan conducted a case management visit due to the Stipulation, Waiver, and Order in place. The visit was unannounced and the purpose was explained to the Administrator.

Findings
The Licensing Program Analyst inspected common areas, kitchen, and 10 resident bedrooms. There were sufficient food supplies, cleaning supplies were locked and inaccessible to residents, resident rooms had required furnishings, and no health and safety concerns were observed.

Employees mentioned
NameTitleContext
Hardie LinAdministratorMet with Licensing Program Analyst during the visit
Cynthia ChanLicensing Program AnalystConducted the case management visit

Inspection Report

Complaint Investigation
Census: 105 Capacity: 120 Deficiencies: 1 Date: May 12, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that due to staff neglect, a resident sustained a serious injury.

Complaint Details
The complaint alleged staff neglect resulting in a serious injury to a resident. The allegation was substantiated based on interviews and record review. An immediate civil penalty of $500 was issued.
Findings
The investigation substantiated that a caregiver accidentally closed a bathroom door on Resident #1's hand, causing a serious injury requiring partial amputation of the finger. Staff training was provided immediately after the incident to prevent recurrence.

Deficiencies (1)
CCR 87468.1(a)(2) Personal Rights of Residents: Staff failed to ensure resident safety when a caregiver closed a bathroom door on Resident #1's hand, resulting in partial amputation of the finger. The licensee must provide training to all staff to ensure resident safety.
Report Facts
Civil Penalty: 500

Employees mentioned
NameTitleContext
Hardie LinAdministratorAcknowledged the incident and provided information during the investigation.
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation.

Inspection Report

Annual Inspection
Census: 102 Capacity: 120 Deficiencies: 3 Date: Apr 8, 2025

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements for the facility serving elderly residents.

Findings
The facility was found to have several deficiencies including improper hot water temperature exceeding regulatory limits, missing medication for a resident, and incomplete staff training records. The physical plant and environmental safety were generally satisfactory, with adequate staffing and proper storage of supplies.

Deficiencies (3)
CCR 87303(e)(2): Water temperature controls were not maintained within the required range of 105 to 120 degrees Fahrenheit, with observed temperatures between 111.2 and 123.0 degrees Fahrenheit posing an immediate risk.
CCR 87465(c)(2): A resident (R5) was missing Lactulose medication and had not received it for at least one week, posing an immediate health and safety risk.
CCR 87412(c): Personnel records lacked verification of required staff training and orientation for staff S#2, S#3, and S#5, posing a potential health and safety risk.
Report Facts
Capacity: 120 Census: 102 Deficiencies cited: 3 Residents receiving home health services: 48 Hospice Waivers: 5

Employees mentioned
NameTitleContext
Hardie LinFacility DirectorMet during inspection and involved in facility operations
Amber BranconierLicenseeMet during inspection and involved in facility operations
Alberto LopezLicensing Program AnalystConducted the inspection and authored the report
Lisa HicksLicensing Program ManagerOversaw licensing program and signed report

Inspection Report

Complaint Investigation
Census: 107 Capacity: 120 Deficiencies: 0 Date: Dec 5, 2024

Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an incident report involving a resident who jumped off the balcony.

Complaint Details
The visit was triggered by a complaint/incident report dated 09/09/2024 regarding resident #4 jumping off the balcony. The incident was investigated and found to be caused by the resident's own actions while not sober. No neglect or abuse was substantiated.
Findings
The facility investigated the incident and found the resident was not sober at the time. No signs of neglect, abuse, or immediate health and safety threats were observed or identified during the visit.

Report Facts
Capacity: 120 Census: 107

Employees mentioned
NameTitleContext
Hardin LinDirectorMet with during the inspection and assisted with the visit
Bonnie TaoLicensing EvaluatorConducted the inspection visit
Fernando FierrosSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 97 Capacity: 120 Deficiencies: 3 Date: Apr 26, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including a resident sustaining a hematoma while in care and inadequate staff supervision.

Complaint Details
The complaint investigation was substantiated for allegations that a resident sustained a hematoma due to falls and inadequate supervision. The resident fell multiple times, resulting in serious injuries including a right shoulder fracture and subdural hematoma. The facility failed to reappraise fall risk and update care plans. Another complaint about resident restraint and licensee suspension was unsubstantiated.
Findings
The investigation substantiated that Resident #1 sustained multiple falls resulting in serious injuries due to inadequate care and supervision. The facility failed to reappraise the resident's fall risk and update the care plan accordingly. Another complaint regarding resident restraint and licensee suspension was found unsubstantiated.

Deficiencies (3)
CCR 87463(a)(1): Facility failed to provide Resident #1 with re-appraisal and care plan updates after falls, posing immediate health and safety risks.
CCR 87468.2(a)(4): Facility staff failed to provide Resident #1 adequate care and supervision based on specific needs, posing potential health and safety risks.
CCR 87405(d)(1): Administrator failed to provide Resident #1 adequate care and supervision based on specific needs, posing potential health and safety risks.
Report Facts
Civil penalty: 500 Capacity: 120 Census: 97 Staff interviewed: 9 Residents interviewed: 7

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation and subsequent visits.
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation report.
Martha GarciaManagerFacility manager met during the investigation.
Cindi StarnesAdministratorFacility administrator interviewed during investigation.

Inspection Report

Annual Inspection
Census: 97 Capacity: 120 Deficiencies: 1 Date: Apr 26, 2024

Visit Reason
Licensing Program Analysts conducted an unannounced annual inspection visit to evaluate compliance with licensing requirements and facility regulations.

Findings
The facility was inspected for physical plant conditions, medication storage, food supply, and resident files. Deficiencies were cited related to medication record keeping and discrepancies in medication logs.

Deficiencies (1)
CCR 87465(h)(6) requires maintaining a record of centrally stored prescription medications for each resident. Resident #1's April 2024 medication record and medication destruction records were missing, and Resident #6's medication log did not match the number of pills administered. The licensee did not document the medication discrepancy.
Report Facts
Capacity: 120 Census: 97 Hospice Waivers: 5

Employees mentioned
NameTitleContext
Amber BranconierLicenseeNamed in medication record deficiency and plan of correction
Hardie LinDirectorMet during inspection
Bonnie TaoLicensing Program AnalystConducted inspection and cited deficiencies

Inspection Report

Complaint Investigation
Census: 98 Capacity: 120 Deficiencies: 0 Date: Apr 18, 2024

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that a staff member handled a resident roughly and did not treat the resident with dignity and respect.

Complaint Details
The complaint alleged that a staff member handled a resident roughly and mistreated the resident by mocking and calling names. After interviews with 6 staff and 10 residents, review of personnel files, and consideration of a recent law enforcement investigation, the allegations were found unsubstantiated due to lack of evidence.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Interviews with staff and residents, review of personnel files, and prior law enforcement investigation did not support the claims, resulting in the allegations being unsubstantiated.

Report Facts
Capacity: 120 Census: 98 Staff interviewed: 6 Residents interviewed: 10 Residents denying rough handling: 8 Staff denying rough handling: 6 Residents denying mistreatment: 9 Staff denying mistreatment: 6

Employees mentioned
NameTitleContext
Tena HerreraLicensing Program AnalystConducted the complaint investigation visit
David SicairosLicensing Program ManagerNamed as Licensing Program Manager on the report
Bryanna M LukeAdministratorFacility administrator during the investigation
Martha GarciaManagerFacility manager met during the investigation
Amber BranconierLicenseeLicensee who assisted with the visit and received the report

Inspection Report

Complaint Investigation
Census: 95 Capacity: 120 Deficiencies: 2 Date: Apr 11, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that a resident sustained a hematoma while in care and that staff did not provide adequate supervision.

Complaint Details
The complaint investigation was substantiated regarding inadequate supervision and failure to update fall prevention care for Resident #1, who sustained multiple falls and serious injuries. Another allegation of resident restraint and licensee suspension was unsubstantiated.
Findings
The investigation substantiated that Resident #1 fell twice in the facility, sustaining serious injuries including a subdural hematoma and shoulder fracture. The facility failed to reappraise the resident's fall risk and update the care plan. Staff supervision was found inadequate, contributing to the resident's multiple falls. Another complaint alleging resident restraint was unsubstantiated.

Deficiencies (2)
CCR 87468.1(a)(16): Facility failed to provide Resident #1 with medical evaluation and care plan for fall prevention after sustaining falls, posing an immediate health and safety risk.
CCR 87411(a): Facility failed to provide Resident #1 with proper supervision and medical care in a timely manner after a fall, posing a potential health and safety risk.
Report Facts
Civil penalty amount: 500 Resident interviews: 7 Staff interviews: 9

Employees mentioned
NameTitleContext
Amber BranconierLicenseeMet with during investigation and exit interview.
Bonnie TaoLicensing Program AnalystConducted the complaint investigation.
Tyler ReyesLicensing Program AnalystAssisted in conducting the complaint investigation.
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation.

Inspection Report

Annual Inspection
Census: 103 Capacity: 120 Deficiencies: 1 Date: May 26, 2023

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and facility conditions.

Findings
The facility was generally clean, well-maintained, and compliant with safety and health regulations. However, deficiencies were cited due to the administrator's certificate being expired and the facility lacking a qualified administrator.

Deficiencies (1)
CCR 87405(a) Administrator - Qualifications and Duties: The facility did not have a qualified and currently certified administrator as the administrator certificate was expired.
Report Facts
Hospice Waivers on file: 5 Residents on hospice: 1 Fire inspection date: Mar 17, 2023 POC Due Date: Jun 2, 2023

Employees mentioned
NameTitleContext
Amber BranconierLicensee/AdministratorNamed in relation to administrator certificate deficiency
Bonnie TaoLicensing EvaluatorConducted the inspection and authored the report
Fernando FierrosSupervisorSupervisor overseeing the inspection

Inspection Report

Census: 109 Capacity: 120 Deficiencies: 0 Date: Apr 28, 2023

Visit Reason
The visit was an office meeting conducted as an Informal Conference to discuss facility operations and oversight based on a prior Decision and Order dated August 23, 2019.

Findings
The report discusses the details of the August 23, 2019 Decision and Order which excluded Amber Branconier from working in a licensed facility except under a Conditional Exemption at this facility. The licensee was informed that the temporary exemption is still pending further review and is in the process of hiring a new administrator.

Employees mentioned
NameTitleContext
Amber BranconierLicenseeNamed as licensee and subject of the Decision and Order discussed in the report.
Fernando FierrosLicensing Program ManagerParticipated in the meeting and is listed as supervisor.
Kruz LongLicensing Program AnalystParticipated in the meeting and is listed as licensing evaluator.
Araceli RamirezRegional ManagerParticipated in the meeting.

Inspection Report

Complaint Investigation
Census: 93 Capacity: 120 Deficiencies: 0 Date: Jan 12, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations of physical abuse, verbal abuse, and neglect related to residents in care.

Complaint Details
The complaint investigation addressed allegations that staff physically abused a resident, verbally abused residents, and left residents in diapers for extended periods. After interviews with residents and staff, review of police reports, physician notes, and facility records, the allegations were determined to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations of physical abuse, verbal abuse, or neglect regarding residents being left in soiled diapers. Interviews with residents and staff, document reviews, and police reports were considered, resulting in all allegations being unsubstantiated.

Report Facts
Capacity: 120 Census: 93 Residents interviewed: 9 Staff interviewed: 4 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Amber BranconierAdministratorFacility administrator involved in the investigation and exit interview
Mary G FloresLicensing Program AnalystInvestigator who conducted the complaint investigation
Everlita FernandezMed TechStaff member met during the investigation

Inspection Report

Annual Inspection
Census: 73 Capacity: 120 Deficiencies: 0 Date: Apr 22, 2022

Visit Reason
Licensing Program Analysts conducted an unannounced annual inspection visit to evaluate compliance with licensing requirements and infection control.

Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The environment was clean, safe, and well maintained, with proper medication storage and functional safety systems.

Report Facts
Hospice Waivers on file: 5 Fire Drill Date: Feb 13, 2022 Last Fire Inspection Date: Jan 21, 2022

Inspection Report

Annual Inspection
Census: 70 Capacity: 120 Deficiencies: 1 Date: Oct 28, 2021

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and assess the facility's conditions.

Findings
The facility was generally clean, safe, and well maintained with operable safety systems and adequate supplies. One deficiency was cited related to cracked bathtubs in two resident rooms posing a potential health and safety risk.

Deficiencies (1)
CCR 87303(a): The facility shall be clean, safe, sanitary and in good repair at all times. Bathtubs in Resident rooms #105 and #119 have a 4-inch crack posing a potential health and safety risk to residents.
Report Facts
Capacity: 120 Census: 70 Plan of Correction Due Date: Nov 5, 2021

Inspection Report

Complaint Investigation
Census: 68 Capacity: 120 Deficiencies: 0 Date: Sep 24, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 09/15/2021 regarding resident assistance, hot water availability, facility disrepair, and food service adequacy.

Complaint Details
The complaint alleged residents were not provided assistance when needed, the facility lacked hot water, was in disrepair, and had inadequate food service. The complaint was found to be unfounded.
Findings
The investigation found the complaint to be unfounded, determining that the allegations were false, could not have happened, or lacked reasonable basis. The complaint was therefore dismissed.

Employees mentioned
NameTitleContext
Kruz LongLicensing Program AnalystConducted the complaint investigation visit.
Amber BranconierLicenseeMet with the Licensing Program Analyst during the investigation.
Cindi StarnesAdministratorNamed as facility administrator.

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