198603566-2-12-2026-28-AS-RORN-DRVU2Y-20260305141243

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 02/12/2026
Date Signed: 02/12/2026 05:28:19 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
02/08/2026 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20260208123605

FACILITY NAME:	ASTORIA PARK SENIOR LIVING		FACILITY NUMBER:	198603566
ADMINISTRATOR:	MARIA QUIZON		FACILITY TYPE:	740
ADDRESS:	925 EAST VILLA STREET		TELEPHONE:	(626) 796-4303
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	220	CENSUS: 149	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Maria Teresita Capito Quizon, administrator		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Staff did not ensure resident was treated with dignity and respect.
Staff did not provide adequate laundry services to resident.
Staff did not safeguard resident's personal belongings.
Staff did not adequately address a change in resident’s condition.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced 10-day complaint visit to this facility. Upon arriving at the facility, LPA met with Maria Teresita Capito Quizon, administrator. LPA explained the purpose of today’s visit and discussed the allegations mentioned above to administrator Maria Quizon.

The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster, staff training records and residents’ facility files.

The investigation revealed the following:

In regards of facility staff did not ensure resident was treated with dignity and respect, it was alleged that staff failed to show respect to resident when providing care. Per the resident interviews, one (1) out of eleven (11) residents interviewed stated that staff did not treat the resident with respect and dignity.
(-continued on LIC 9099C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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-20260208123605

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: 02/12/2026

NARRATIVE

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Ten (10) out of eleven (11) residents interviewed could not corroborate the allegation. It revealed residents were treated with respect and dignity. Per staff interviews, all six (6) out of six (6) staff interviewed could not corroborate the allegation which indicated staff would treat residents with respect and dignity. During the facility tour, LPA observed residents were looking happy when talking to staff. Staff would say hello to residents and have short conversations with them. Therefore, residents are treated with dignity and respect.
In regards of facility staff did not provide adequate laundry services to resident, it was alleged that laundry service was not provided regularly and clean clothes were not hung in the closet but folded in resident’s bed. LPA interviewed residents, one (1) out of eleven (11) residents interviewed stated that laundry staff did not wash the resident’s clothes once a week and resident had to remind staff to provide laundry services. Ten (10) out of eleven (11) residents interviewed could not corroborate the allegation. It revealed that laundry services were provided at least once weekly and more if needed. Their clothes were hung in the closets. Per staff interviews, all staff interviewed could not corroborate the allegation which indicated laundry services were provided at least once every week and more if requested. Staff would check on residents when called for laundry services. During the physical plant, all residents’ clothes were observed to be hanging in closets and no clothes were laid in bed. Thus, staff provided adequate laundry services to residents.

In regards of facility staff did not safeguard resident's personal belongings, it was alleged that some hangers and money were missing in resident#1 (R1)’s room while in care. LPA interviewed residents, one (1) out of eleven (11) residents interviewed stated that some hangers were missing in the closet and some clothes were taken by the roommate, but the resident was unable to confirm money was missing in the room. During the resident interview, LPA visited R1’s room to interview R1’s roommate, resident#2 (R2). R2 was non-ambulatory and needed assistance to get up/out of bed. R2 also needed assistance to transfer to wheelchair and dressing/grooming. Ten (10) out of eleven (11) residents interviewed could not corroborate the allegation. It revealed that residents were not aware of any missing hangers or personal belongings while in care. Per staff interviews, all staff interviewed could not corroborate the allegation which staff would assist residents to locate the missing personal belongings when reported missing. The facility has extra hangers in the storage and would provide resident with more hangers if requested. As a result, staff did not fail to safeguard resident’s personal belongings.

(-continued on LIC 9099C-)

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260208123605

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: 02/12/2026

NARRATIVE

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In regards of facility staff did not adequately address a change in resident’s condition, it was alleged that resident was noted with increased confusion and staff did not address it properly. LPA interviewed residents, one (1) out of eleven (11) residents interviewed stated that staff did not report resident’s change in condition correctly and the resident insisted that was not change in resident’s mental status. Ten (10) out of eleven (11) residents interviewed could not corroborate the allegation. It revealed that staff would address residents’ changes in condition and notify their families / primary physicians. Per staff interviews, all staff interviewed could not corroborate the allegation which staff would document residents’ changes, notify administrator and report the changes to residents’ primary doctors. Per record review, in-service training was provided to staff related to changes in conditions. Besides, records showed med tech and care coordinator had observed resident's changes. The changes were documented in resident's notes on 01/11/26, 01/16/26, 01/21/26 and 01/28/26. Psych counsel was provided to resident on 02/10/26. Physician assistant visited and evaluated the resident on 02/12/26. Resident's prescription was updated on 02/12/26 today. Additional lab tests and assessments were requested. Therefore, staff had adequately addressed residents’ changes in condition.

Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Maria Teresita Capito Quizon, administrator. The findings were discussed and a copy this report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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