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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601976
Report Date: 10/24/2025
Date Signed: 10/24/2025 02:48:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/16/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20251016205205
FACILITY NAME:DEL MAR PARKFACILITY NUMBER:
198601976
ADMINISTRATOR:RABIE BANAFSHEHAFACILITY TYPE:
740
ADDRESS:990 EAST DEL MAR BOULEVARDTELEPHONE:
(626) 577-0215
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:124CENSUS: 65DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Denise SuttonTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff did not safeguard resident's personal belongings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune margaryan conducted an unannounced initial complaint investigation visit regarding the above allegation. LPA met with Denise Sutton, Supervisor and explained the reason for the visit.

The investigation consisted of the following: LPA Margaryan obtained a copies of the Staff roster, Residents roster, reviewed Resident 1(R1) and Resident 2 (R2) files and obtained copies of relevant documents. Interviews conducted with Supervisor, Staff 1 and Staff 4 (S1 and S4), Resident 1(R1) to Resident 6 (R6).


Continue 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20251016205205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: DEL MAR PARK
FACILITY NUMBER: 198601976
VISIT DATE: 10/24/2025
NARRATIVE
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The investigation revealed the following: Regarding allegation: Staff did not safeguard resident's personal belongings. It was alleged that R2 stole R1's personal belongings, personal documents and attempted to add an additional cable TV receiver in R2's room.

Interviewed Supervisor and S1 mentioned that they were aware of the incident that happened about 2 months ago, R2 stole R1's personal documents. R1 and R2 were roommates before the incident. Interviewed Supervisor stated that the best option for both residents was to move R2 to another room to avoid further issues. They chose the better option at that time. Supervisor and S1 stated that they didn't hear any complaints from staff or residents that any resident stole another resident personal belongings, personal documents before. This incident was first one that they heard, and they have done and will do everything to avoid such cases in the future. Interviewed S2 and S3 stated that they didn't hear any complaints about stealing of residents personal belongings. Interviewed S4 stated that they heard that R2 tried to use R1's documents / information to get extra Spectrum box in R2's room. Interviewed R1 stated that R2 was R1's roommate before. R1 indicated that R2 is nice person but he/she likes to go thought to R1's personal belongings. Facility staff move R2 from R1's room. Interviewed R2 - R6 stated that they are not missing anything, and no one took / stole their personal belongings or personal information. They didn't hear that any resident stole another resident personal belonging, personal information.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview was conducted. A copy of the report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
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