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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601976
Report Date: 02/28/2026
Date Signed: 02/28/2026 12:49:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
01/15/2026 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260115143117
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: 69DATE:
02/28/2026
UNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH:Denise SuttonTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Facility staff handled the resident in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint visit on 02/28/2026, regarding the above allegation to deliver findings. On 01/21/2026, LPA Ramirez conducted an unannounced initial visit and a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Denise Sutton and explained the purpose of the visit

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Staff Roster, Resident Roster, Staff interviews#1- 5 (S1-S5) Resident interviews #1-5 (R1-R5), copies of R1's: physician's report, Preplacement Appraisal Information, R1’s Unusual Incident Report/Special Incident Reports, and physical plant tour.

See 9099-C for continued report
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2026
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-20260115143117
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: DEL MAR PARK
FACILITY NUMBER: 198601976
VISIT DATE: 02/28/2026
NARRATIVE
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The investigation revealed the following: regarding the allegation “Facility staff handled the resident in a rough manner.” It is alleged staff handled R1 in a rough manner. One (1) out of five (5) residents interviewed corroborated this allegation. Five (5) out of five (5) staff interviewed denied this allegation. Four (4) out of the five (5) residents interviewed corroborated that they felt staff treat them well and are happy with their care. Staff interviews revealed that R1 has a history of falls, aggressive behaviors and refusal to comply with grooming and toileting assistance. Staff interviews revealed staff try to redirect R1 when they become aggressive and give R1 space before attempting to assist R1 again. During record review, LPA Ramirez reviewed R1’s Unusual Incident Report/Special Incident Reports from 01/2026 through 02/2026. These records revealed R1 had several unwitnessed falls which resulted in some minor injuries that were assessed and treated by staff. None of these records revealed that R1 received an injury due to staff handling R1 in a rough manner. These records revealed that staff contacted R1’s physician and R1’s family regarding these falls. During facility tour, LPA Ramirez over heard resident#6 (R6) and their family expressing their satisfaction with facility staff and the care R6 was receiving. 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.

No deficiencies were cited during this visit. Exit interview was conducted. A copy of this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2