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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 03/16/2026
Date Signed: 03/16/2026 02:29:08 PM

Substantiated


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
02/23/2026 and conducted by Evaluator Bonnie Tao
COMPLAINT CONTROL NUMBER: 28-AS-20260223085558
FACILITY NAME:ASTORIA PARK SENIOR LIVINGFACILITY NUMBER:
198603566
ADMINISTRATOR:MARIA QUIZONFACILITY TYPE:
740
ADDRESS:925 EAST VILLA STREETTELEPHONE:
(626) 796-4303
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:220CENSUS: 150DATE:
03/16/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Administrator, Maria Teresita Capito QuizonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are not meeting residents bathing needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tao conducted an unannounced subsequent visit on 03/16/26, today, to re-deliver the finding for correcting the citation issued on 02/23/26. LPA met with Administrator Maria Teresita Capito Quizon. The purpose of today’s visit and the allegation of the complaint were discussed with the Administrator.

The initial complaint visit was conducted on 02/23/26 which included resident / staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster and residents’ facility files. The investigation revealed that the facility staff were not meeting residents’ bathing needs, which staff did not bathe residents.

The allegation was found to be SUBSTANTIATED. Deficiencies were being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted with Administrator and a copy of this report/appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
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-20260223085558
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2026
Section Cited
CCR
87464(f)(4)
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Personal assistance and care as needed by the resident .. such as … bathing…

This requirement was not met as evidenced by:
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Licensee agreed to provide bathing care to residents who were not provided from last week and keep up with the bathing assistance as scheduled. Showing log will be provided for POC by due date.
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Per staff and residents’ interviews, staff were not bathing residents and missed at least once last week for providing their bathing needs.

This poses a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2