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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 12/23/2025
Date Signed: 12/23/2025 05:29:19 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
12/17/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20251217135910
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: 147DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH: Maria Quizon - AdministratorTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff did not ensure residents personal property was safely secured.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted a complaint visit to investigate the allegation listed above. LPA met with Maria Quizon, Administrator who assisted with the visit. Reason for the visit was explained.

The investigation consisted of the following: LPA Margaryan requested Staff and Residents rooster, conducted interviews with Administrator, Staff 1 to Staff 4 (S1 to S4) and Resident 1 to Resident 10 (R1 to R10). LPA reviewed R1's file and obtained relevant documents.

Continue 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
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-20251217135910
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: 12/23/2025
NARRATIVE
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Regarding Allegation: Staff did not ensure residents personal property was safely secured. It was alleged that R1's personal belongings stolen.

Interviewed Administrator and staff denied the allegation. They stated that all residents personal belongings are safety secure. They indicated that they have never stolen any resident personal belongings, never heard of any residents stealing anyone's personal belongings, and would notify and report it if they did hear of them stealing. They stated sometimes residents’ personal belongings were misplaced in their rooms or being stored in their closets after washed, but never stolen. Interviewed Administrator stated that if there is any report from the residents regarding any missing personal belongings they will talk to the staff immediately to assist the residents to find the item. Administrator stated that they will check the room, laundry, common areas. Interviewed Administrator and staff stated that they didn't hear from the residents that their personal items were stolen. All interviewed residents stated none of their personal belongings have gone missing. They stated they haven't heard of any one stealing someone's personal belongings. Review of R1's file Client/Resident Personal Property and Valuables document dated 2/11/25, has signature of R1's representative which states: "At the present time I decline to track personal property".

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 and the copy of this report was provided.


SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2