198601976-5-15-2026-28-AS-LHIS-DVDTRE-20260625145726

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601976
Report Date: 05/15/2026
Date Signed: 05/15/2026 04:03:48 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
05/12/2026 and conducted by Evaluator Bonnie Tao

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260512090501

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:	05/15/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator Denise Sutton		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not ensure that resident's hygiene needs are being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced 10-day complaint visit to this facility. Upon arriving at the facility, LPA met with Administrator Denise Sutton. LPA explained the purpose of today’s visit and discussed the allegation mentioned above to Administrator Sutton.

The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster and residents’ facility files.

The investigation revealed that, in regards of facility staff did not ensure that resident's hygiene needs are being met, it was alleged that a resident’s clothes were not changed and showers were not provided for residents who need bathing assistance. Per the resident interviews, nine (9) out of nine (9) residents interviewed could not corroborate the allegation. It revealed residents who need bathing assistance were bathed as scheduled twice or three times a week. Clean clothes were changed after shower and as needed. ( - continued on LIC 9099C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

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-20260512090501

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: 05/15/2026

NARRATIVE

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Per staff interviews, four (4) out of four (4) staff interviewed could not corroborate the allegation which indicated staff would provide bathing assistance to those residents who need it and dressed residents with clean clothes after showers or as needed. During the facility tour, LPA observed staff delivered clean clothes to residents from room to room. Residents were observed to be clean and neat. No foul odor was noted. Per record review, facility had a shower schedule for staff to follow and provide bathing assistance to residents. Residents had their own Service Plan charts and staff would check off the log as cares were provided. Therefore, staff provided bathing assistance and dressed residents with clean clothes after showers or as needed.

Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Administrator Denise Sutton. The findings were discussed and a copy of this report was provided.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC9099 (FAS) - (06/04)

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