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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 10/20/2025
Date Signed: 10/20/2025 01:14:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/15/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251015113838
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: 151DATE:
10/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephanie FunderburgTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff handled resident in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced initial visit to investigate the above allegation. LPA met with Stephanie Funderburg , and discussed the purpose of the visit.

The investigation consisted of LPA reviewing and obtaining copies of staff and resident rosters, R1's file was reviewed and Admission Agreement. Physician's Report and Emergency ID Face sheet were submitted. Interviews were conducted with (2) staff (S1-S2), ten (11) residents (R#1-R#11)
Administrator was also interviewed.

The investigation revealed regarding Allegation Staff handled resident in a rough manner, based on interviews conducted and information gathered Resident's R3- R11 all stated that they never observed staff doing anything verbally or physically abusive. R3 and R11 stated they live over the courtyard and have not seen staff mishandling residents in a rough manner.
R3- R11 also stated that staff treat them well and will help them if they ask for assistance.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2025
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-20251015113838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ASTORIA PARK SENIOR LIVING
FACILITY NUMBER: 198603566
VISIT DATE: 10/20/2025
NARRATIVE
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 Administrator stated that Staff S1 said that the alleged incident never happened.
Said there has not been any complaints regarding S1 previously.
Staff S1 stated that the incident didn't occur. Said the alleged incident doesn't reflect on S1 as a person.
Said that will comb residents hair and maybe that was misinterpreted.
Also stated that residents are treated with respect and has no idea why the allegation was made.
Staff S2 stated that was working PM shift and didn't see any incident.
Said R1 sometimes hits staff or other residents.
Stated S1 never complains and has worked 8 months with Staff S1 and has never seen anything occur with S1.

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 Administrator Stephanie Funderburg

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2