198601976-5-12-2026-28-AS-FFIS-DUJQBW-20260529120213

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601976
Report Date: 05/12/2026
Date Signed: 05/12/2026 09:06:46 AM

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
03/02/2026 and conducted by Evaluator Elena Mallett

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260302100048

FACILITY NAME:	DEL MAR PARK		FACILITY NUMBER:	198601976
ADMINISTRATOR:	RABIE BANAFSHEHA		FACILITY TYPE:	740
ADDRESS:	990 EAST DEL MAR BOULEVARD		TELEPHONE:	(626) 577-0215
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	124	CENSUS: 69	DATE:	05/12/2026
		UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Administrator - Denise Sutton		TIME COMPLETED:	09:10 AM

ALLEGATION(S):

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Staff hit a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced subsequent complaint visit to investigate the above allegation. LPA was met by Arineh Vartanian Community Liasion and explained the purpose of the visit. Administrator Denise Sutton was contacted by phone and joined the visit shortly after.

During today’s visit, LPA requested and obtained resident and staff rosters and toured the physical plant. No immediate health and safety concerns were observed.

The initial visit was conducted on 03/09/26. During the initial visit, the investigation consisted of interviews with Staff #1-#6 (S1-S6) and with Residents #2-#9(R2-R9). LPA toured the physical plant. LPA requested and obtained the following documents: Staff Roster and Resident Roster for February and March 2025 , Resident ADL Master List, Personal Rights Training for S1-S6. LPA obtained the following documents from R1's file: Physician's report, Preplacement Appraisal Information and all SIRs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260302100048

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: 05/12/2026

NARRATIVE

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Regarding allegation Staff hit a resident: It is alleged that an unknown staff member hit resident #1 (R1) in the rib area. LPA made several attempts to interview R1, however, all attempts were unsuccessful. LPA interviewed residents R2-R9 and none were able to corroborate this allegation. Eight (8) out of eight (8) residents reported not being aware of staff hitting residents in the ribs and residents stated staff did not hit R2-R-R9 in the ribs or near the ribs. Eight (8) out of eight (8) residents stated they felt safe at the facility.

Administrator stated that staff never hit R1 or any other resident. Administrator stated APS and Law Enforcement had come to the facility regarding the incident and had not opened an investigation.

Staff 1 -6 (S1-S6) were interviewed and six (6) out six (6) staff were not able to corroborate that a staff member hit R1 or any residents in the rib area. Six (6) out of six (6) staff interviewed deny ever hitting any resident in care. Six (6) out of Six (6) staff interviewed state that staff are trained on resident rights upon hire. LPA reviewed six staff records which revealed that staff had been trained in residents’ rights. During 03/09/26 visit, when LPA toured the facility, LPA observed staff and resident interactions which LPA observed to be professional. The investigation did not reveal that staff hit residents in care.

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.

LPA Mallett conducted an exit interviews with Administrator Denise Sutton and a copy of this Licensing report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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