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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 10/07/2025
Date Signed: 10/07/2025 12:44:45 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
09/30/2025 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250930161850
FACILITY NAME:ASTORIA PARK SENIOR LIVINGFACILITY NUMBER:
198603566
ADMINISTRATOR:STEPHANIE FUNDERBURGFACILITY TYPE:
740
ADDRESS:925 EAST VILLA STREETTELEPHONE:
(626) 796-4303
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:220CENSUS: 153DATE:
10/07/2025
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Stephanie Funderburg, AdminisratorTIME COMPLETED:
12:46 PM
ALLEGATION(S):
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Staff are not following proper eviction procedures.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez made an unannounced initial visit to investigate the above allegation. LPA met with Michelle Castillo, Business Office Manager, and discussed the purpose of the visit. Administrator Stephanie Funderburg arrived a short time later and assisted with the visit.

The investigation consisted of LPA reviewing and obtaining copies of staff and resident rosters, R1 admission agreement. R1 Physicians report dated 02/27/2025, R1overdue rent notices provided to resident, Interviewing four (4) staff (S#1-S#4), ten (10) residents (R#1-R#10)

The investigation revealed regarding Allegation: Staff are not following proper eviction procedures. It is alleged that facility administrator verbally gave resident a 3 day notice to quit.

(Continued on 9099C)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
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-20250930161850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ASTORIA PARK SENIOR LIVING
FACILITY NUMBER: 198603566
VISIT DATE: 10/07/2025
NARRATIVE
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(continued on 9099C)

LPA interviewed four (4) staff, and all four (4) staff denied the allegation. S2 denied giving resident any kind of eviction including verbal. S1 stated she never witnessed S2 giving verbal eviction to R1. LPA interviewed Ten (10) residents and ten (10) of ten (10) residents could not corroborate the allegation. LPA reviewed R1 admission agreement, and it showed that R1 was admitted to facility on 02/27/2025 and showed rent amount of $1420.07. The only notices that facility has provided for R1 are overdue rent notices. R1 physician’s report dated 02/27/2025 showed that R1 can make own decisions and does not have cognitive impairment. R1 stated that R1 was not told R1 had to leave facility, but that facility may evict R1 for nonpayment. R1 said R1 offered $1000.00 but administrator refused it. Administrator denied that she refused the $1000.00. Administrator stated R1 asked for copy of R1 admission agreement and that R1 would like time to review it before paying. Administrator stated she will work with R1. R1 stated R1 would be willing to work out an arrangement. R1 stated has only paid $500 since arriving on 02/27/2025. There is insufficient evidence to support this allegation.

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 with Stephanie Funderburg and a copy of this report was provided.

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

DATE: 10/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2