Arcadian Residential Community

On 2/6/2026 at 12:30 PM, Licensing Program Analyst (LPA), Y. Brown arrived unannounced conduct a case management health and safety check. LPA met with Lulin "Lucy" Wu, Administrator. LPA toured the facility with the Administrator including but not limited to residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. The water temperature was measured at 115.1 degrees F. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. There are no imminent health/safety concerns on today's date. No deficiencies cited during the Health and Safety visit. Exit interview conducted with Lulin and a copy of this report provided.

On 2/6/2026 at 9:30 AM, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 2/5/2026. LPA met with Lulin "Lucy" Wu, Administrator and explained the purpose of the visit. S1 submitted an incident report that stated R1 alleges S2 has displayed sexually inappropriate acts towards R1 to the department on 2/5/2026. The incident report states that the incident happened on 2/4/2026. LPA interviewed Staff (S1, S2, and S3) and resident two (R2). S1 stated that R1 contacted the Local Police Department on 2/4/2025. S1 stated that the police have started their own investigation. S1 stated that they have conducted an internal investigation and have contacted R1's responsible parties. LPA was unable to interview R1 at this time since S1 stated that R1 was moved to the sister facility. No deficiencies cited during the visit. LPA will conduct further investigation and will return if needed. Exit interview conducted with Lulin and a copy of this report provided.

On 07/03/2025, at 9:00 AM, Licensing Program Analysts (LPAs) James Sampair and Andrew Christy arrived unannounced to conduct this Required 1 Year inspection. Upon entry, the LPA informed Assistant Administrator Rachel Maniaul of the purpose of this visit. The LPA inspected the inside and outside of the facility, which included the kitchen, dining room, common areas, bedrooms, storage, and the patio. An adequate supply of food was observed, more than the required minimum of 2 days of perishable and 7 days of non-perishable food. The central storage for medications was locked. The cleaning supplies and other dangerous objects were inaccessible to residents. The facility has working smoke and carbon monoxide detectors. The staff of the facility conduct disaster / emergency and fire drills on a quarterly basis and they conduct shelter in place drills semi-annually. The fire extinguishers were serviced on 02/25/2025. The indoor temperature was 74.0 degrees Fahrenheit and the maximum hot water temperature was 119.3 degrees Fahrenheit. The LPA reviewed facility records, 5 resident records, and 5 staff records. Liability insurance up to date with an expiration date of 11/28/2025 No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Administrator Lulin 'Lucy' Wu and informed the purpose the visit. Wendy Wong and Olive Manalastas, licensees, arrived after about 45 minutes. LPA toured the facility with Lulin Wu. LPA randomly selected 6 residents' rooms (room #'s 12, 8, 9, 5, C and B) for inspection. LPA also inspected the common areas, reception area, dining room, kitchen, shower room/bathroom, ensuite toilets. Medications are centrally stored in a locked area that is inaccessible to residents and refilled every 30 day s. Per Lulin Wu, facility conducts inventory of medications every week. Perishable and non-perishable food supplies were observed sufficient. LPA observed a central screening station for COVID-19 with hand sanitizer and visitor's log by the entrance door. COVID-19 posters were observed posted all through out the facility. Personal protective equipments (PPEs) including but not limited to N95 respirators, surgical masks, disposable gowns, hand sanitizers, face shields were observed sufficient for 30 days. Water temperature in the bathroom was tested and measured at 115 degrees Fahrenheit. Fire extinguishers checked, observed fully charge and tags showed serviced February 10, 2021. Facility has working smoke and carbon monoxide detectors. LPA verified with the administrator and licensees who indicated fit testing for N95 respirators for all staff has not been conducted. A copy of current LIC500 Personnel Report received on this day. Exit interview conducted and copy of this report provided to Lulin Wu.

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management in response to the Unusual Incident Report (UIR) for resident (R1) submitted by the facility to the Department on June 27, 2023. LPA met with Lulin 'Lucy' Wu, administrator, and licensees, Wendy Wong and Olive Manalastas, and informed the reason for visit UIR indicated that on June 26, 2023 at 8:30 am. staff was going to help resident (R1) with morning grooming and noticed R1 unresponsive. Staff immediately called 9-1-1, and started CPR. At 8:45 am, the paramedics pronounced time of death. Police Officer arrived at the facility, took report. and called Coroner's Office. Coroner grant the release of R1's body. R1's son and daughter came to the facility, and called the mortuary. On this day, August 16. 2023, LPA reviewed R1's records including but not limited to LIC602A Physician's Report, doctor's order of medications and Medication Administration Record. LPA obtained copies of documents and conducted interviews. No deficiency cited during today's visit. Exit interview conducted, and copy of this report provided.

Page 2 Allegation: Staff are not meeting residents’ needs. It was alleged that there is a resident who screams like this resident is in pain 24/7. It was further alleged this resident may have a flesh-eating bacterium from not getting the diaper changed enough making this resident screams day and night. When LPA arrived to the facility on 3/20/22, LPA heard a resident crying and learned that this resident is R5, LPA observed staff went to R5's room and calmed R5 down. Administrator and licensees Wendy Wong and Olive Manalastas stated that R5 has screaming, crying and yelling behaviors. Review of R5's records confirmed administrator and licensees' statements. Administrator stated R5 is on hospice and that they were working with the hospice agency to address the behaviors. S1 confirmed that facility had worked with the hospice agency and R5's medications were adjusted to address the medications. During visits on 8/31/22 and 8/23/23, LPA no longer heard R5 crying or screaming. On 3/30/22, 8/31/22 and 8/23/23, LPA observed R5 clean and no smell of urine. Five residents were interviewed on 3/30/22 and 8/31/22. R1 indicated that the only time she does not hear R5 cries is when she (R1) goes to sleep. Three residents stated they are not bothered by R5's crying and two of these 3 residents stated it's R5's behavior. LPA was not able to obtain information from R5 and 1 of the other residents. Based on information gathered and LPA unable to obtain information from R5, the allegation of staff are not meeting resident's needs is closed as unsubstantiated. A f inding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. .......continued on 9099C (page 3) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 3 Allegation: Staff are not providing adequate food service to resident. It was alleged that resident (R1) is a vegan and the facility keeps giving R1 meat and food with gluten. LPA interviewed R1 who stated she has food allergy and needs super foods but has not told the staff of her food preferences. Administrator stated R1 likes tofu & fruits which the facility provides. Administrator also stated R1 likes organic food so the staff drive R1 to the store so R1 can buy the organic items she prefers. The other 4 residents interviewed indicated they like the food facility serves. Review of R1's record showed R1 is interested in organic farming. R1's LIC602A Physician's Report didn't indicate R1 being vegan, having food allergy or on special diet. LPA inspected the food supplies which were observed of different varieties. Based on information gathered, the allegation of staff are not providing adequate food service to resident is closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted, and copy of this report provided. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA conducted inspection on 3/20/22 and 8/31/22 and didn't observe any broken pipes. Facility was observed to have running water. LPA checked the tap water and observed it clear and no residue. Licensee and administrator stated they was no incident of water and sewer pipes being in disrepair or damaged. All 4 residents interviewed indicated there's no problem or issue with water. Based on information obtained, the allegation is closed as unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiency cited. Exit interview conducted, and copy of this report provided