<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603286
Report Date: 06/23/2026
Date Signed: 06/23/2026 03:29:36 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
06/22/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260622133923
FACILITY NAME:PASADENA VILLA SENIOR LIVINGFACILITY NUMBER:
198603286
ADMINISTRATOR:MURPHY, MICHAELFACILITY TYPE:
740
ADDRESS:1811 N. RAYMOND AVETELEPHONE:
(626) 791-6232
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY:97CENSUS: 62DATE:
06/23/2026
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Bryanna Luke, Administrator TIME COMPLETED:
03:39 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not provide grab bars for safe showering.
Facility does not have hot water.
Staff not giving resident personal belonging(s).
Staff not preventing resident from disturbing other residents sleep.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Alberto Lopez conducted an initial 10-day complaint visit to investigate the above allegations. LPA met with Administrator Bryanna Luke and LPA discussed the purpose of the visit.

The investigation consisted of LPA obtaining a staff and resident roster, interviewing four (4) staff S#1-#4 and seven (7) residents #1 - #7, taking tour of facility and inspecting four (4) common showers.

The investigation revealed regarding allegation: Staff do not provide grab bars for safe showering. It is alleged that staff are not providing grab bars in shower and it makes it unsafe for residents to shower. LPA interviewed four (4) staff, and all four staff denied the allegation. LPA interviewed seven (7) residents and six (6) of seven residents could not corroborate the allegation. One (1) resident stated that shower could use a long horizontal grab bar across the side walls adjacent to the shower exit. Administrator stated she will ask her maintenance staff to check to see if grab bar can be installed in the walls and will install them if the walls are structurally sound. (continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
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-20260622133923
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: PASADENA VILLA SENIOR LIVING
FACILITY NUMBER: 198603286
VISIT DATE: 06/23/2026
NARRATIVE
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
(continued from 9099)
The department requires that facility provide grab bars for shower and toilets and have met that requirement currently. There is insufficient evidence to substantiate this allegation.
Allegation: Facility does not have hot water. It is alleged that facility does not have hot running water. LPA interviewed four (4) staff, and all four (4) staff denied the allegation. LPA interviewed seven (7) residents and six (6) of seven (7) residents could not corroborate the allegation. Several residents stated that it takes a while for water to get hot at times. LPA checked the hot running water, and it was at the required temperature. There is insufficient evidence to substantiate this allegation.

Allegation: Staff not giving resident personal belonging(s). It is alleged that the facility is not giving resident’s personal belongings. LPA interviewed four (4) staff, and all four (4) staff denied the allegation. LPA interviewed seven (7) residents and seven (7) of seven (7) residents could not corroborate the allegation. One resident stated that he had asked for a table, two chairs and a clock for his room and the items were not personal belongings. Facility administrator was able to provide the resident with two (2) chairs, table and a clock during the visit. There is insufficient evidence to substantiate this allegation.

Allegation: Staff not preventing resident from disturbing other residents sleep. It is alleged that a resident has the volume on TV too loud in the late evening hours (after 10:30PM) and is disrupting the resident’s sleep in the adjacent room. LPA interviewed four (4) staff, and all four (4) staff denied the allegation. Two (2) staff stated that they addressed the issue with the resident who put the TV volume too loud and that it was a one-time occurrence. LPA interviewed seven (7) residents and five (5) of seven (7) residents could not corroborate the allegation. Two (2) residents’ stated it happened again last night. The resident accused of putting the volume too loud denied it and demonstrated to LPA how much volume TV is on all the time. Other residents in adjacent rooms stated they do not hear sound of TV or other sounds during the night and are able to sleep well. Facility administrator offered all three (3) residents an opportunity to change rooms, and all three (3) residents turned down the offer. There is insufficient evidence to substantiate this allegation.

Based on statements and interviews conducted with residents and staff, there was not enough supportive evidence to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided to Bryanna Luke, Administrator.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2