198603566-1-30-2026-28-AS-LHIS-DQXPV7-20260203103840

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 01/30/2026
Date Signed: 01/30/2026 04:15:19 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
12/26/2025 and conducted by Evaluator Bennette Pena

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251226111803

FACILITY NAME:	ASTORIA PARK SENIOR LIVING		FACILITY NUMBER:	198603566
ADMINISTRATOR:	STEPHANIE FUNDERBURG		FACILITY TYPE:	740
ADDRESS:	925 EAST VILLA STREET		TELEPHONE:	(626) 796-4303
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	220	CENSUS: 150	DATE:	01/30/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Maria Quizon - Executive Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff are not allowing resident to leave facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint visit regarding the above stated allegation. LPA met with Maria Quizon, Executive Director and explained the purpose of the visit.

The investigation consisted of the following: On 12/29/2025, LPA obtained copies of the staff & resident rosters, Elopement and Restraints Policies, Staff in-service training logs on elopement, restraints and Residents personal rights, Email correspondence between R1’s family member and Administrator and Resident #1 (R1) – Resident #2 (R2) pertinent files such as: Identification/Emergency Information, Preplacement Appraisal, Phyician's report, Medication list, Service/Care plan and Personal Rights. Prior to today's visit, LPA communicated with Resident #1 (R1).

During today's visit, LPA obtained copies of the staff & resident rosters, Incident report and Resident #1 (R1) – Resident #2 (R2)’ s Admission Agreements. LPA also interviewed Staff #2 (S2) - Staff #4 (S4) and Resident #2 (R2) - Resident #15 (R15). *****CONTINUED ON LIC 9099-C*****

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026

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-20251226111803

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: ASTORIA PARK SENIOR LIVING	FACILITY NUMBER: 198603566
	VISIT DATE: 01/30/2026

NARRATIVE

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The investigation revealed the following:

In regards to the allegation: "Staff are not allowing resident to leave facility." It is alleged that staff did not allow R2 to leave the facility with R1 and staff did not treat them with dignity, comparing the environment to being incarcerated in a state penitentiary. Staff interviewed denied the allegation. Staff stated that they are trained on resident rights and residents are allowed to leave the facility if they choose to. However, some residents, including R2, have restrictions based on doctor's orders and are required to have permission from a family member to leave unassisted. Staff stated that based on the documented care plans that were required for R2's care and due to safety concerns, R2 was not permitted to leave the facility unassisted. Additionally, there was an instruction requiring that a family member (FM) grant authorization before R2 was permitted to leave the community. Staff confirmed that no residents are restrained and that R2 does not have a restraint device. (11) out of (15) residents interviewed stated that they can leave the community whenever they want and none of the staff ever tried to stop them. (3) out of (15) stated that they wanted to leave the facility on their own but their doctor restricted them to leave unassisted. Some interviewed residents also stated that they feel safe leaving and have not been threatened by any staff when leaving the premises. Review of R2's Physician's report indicated that R2 cannot leave unassisted. LPA also confirmed the family member's instruction about getting permission for R2 to leave the community. During the visit, LPA also observed that the reception area maintains a list of residents who are restricted to leave the facility unassisted. Furthermore, the facility maintains a sign in and out logs and residents are free to come and go. Therefore there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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 conducted and a copy of this report was provided to Maria Quizon, Executive Director.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026

LIC9099 (FAS) - (06/04)

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