198603566-5-24-2026-28-AS-WSHO-DUNNX7-20260602105039

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 05/22/2026
Date Signed: 05/24/2026 11:52:58 AM

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
11/17/2025 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251117093224

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: 100	DATE:	05/22/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Maria Quizon		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Resident was not afforded dignity
Personal accommodation in bedroom is inadequate
Staff did not assist with resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint investigation visit today 5/22/2026. During today’s visit LPA Trueman was greeted by Administrator Maria Quizon and explained the purpose of the visit.
The purpose of the visit is to investigate the above additional allegations that were not addressed from the initial complaint issued 11/17/2025.
The initial visit was conducted on 11/21/2025 and subsequent complaint visit was conducted on 2/12/2026.
On 2/12/2026 Allegations Staff do not answer residents calls for assistance timely (findings Substantiated) and Staff do not ensure facility is free of pests (Unsubstantiated) were investigated.
At today's visit Resident and Staff Roster were submitted along with document Assisted Living Waiver (ALW) Agreement. Resident Care Summary was submitted.
Interviews were conducted with Administrator Maria Quizon and Staff S1-S4.
Resident's R2-R11 were also interviewed.
In regards to the allegation Resident was not afforded dignity, based on interviews conducted and

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

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-20251117093224

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: 05/22/2026

NARRATIVE

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information gathered it was revealed by Resident's R2-R11 that staff are very kind and helpful.
All stated that staff treats everyone with respect and dignity and have never mocked or laughed at any resident. All said staff are very polite and terrific.
Resident R8 said that she admires whomever is training staff.
Administrator stated that staff would cater to Resident R1 and even give clothes because R1 didn't have alot.
Staff S3 said they treated R1 kindly and R1 would say she loves staff and they are angels.
Staff S1-S4 all stated that staff treat all residents with respect and dignity.

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.

In regards to the allegation Personal accommodation in bedroom is inadequate, based on interviews conducted and information gathered Administrator stated that the family tours the bedrooms and they pick and choose the room. It is approved living space by the family and R1 is part of the ALW program in which R1 has a shared room.

Residence and Care Agreement was signed by Authorized Representative of R1 on 2/12/2025.

Interviews with R2-R11 who all stated that their rooms were spacious and clean. Said housekeeping comes there 1x a week. All stated that the room is still sufficient for those who have wheelchairs or walkers.

Staff S1-S4 all stated the rooms were spacious and sufficient. Staff S3 stated that she worked on the admission of R1 and said they work with the ALW Program. Stated that during the assessment they will tell them they will have a roommate. Said they were taken on a tour and shown a room with 2 residents so they will know exactly what they will have.

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.

In regards to the allegation Staff did not assist with resident's needs, based on interviews conducted and information gathered Resident's R2-R11 all stated that they get their care needs met. All stated that staff respond promptly when residents ask for help. R2 stated he used the clicker for assistance and staff came within 1 minute.Administrator stated that if a resident requested physical therapy it has to go thru the doctor first. It's applied for because with medical they have to wait for approval.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20251117093224

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: 05/22/2026

NARRATIVE

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Staff S1 stated that R1 was always showered and was very verbal and would let staff know if she needed assistance.Staff S3 said that staff were always friendly with R1 and that R1 loved staff and called them angels. Stated they took very good care of R1 and they knew R1's daily schedule of what R1 needed and were very on top of what was needed for R1.
Staff S4 stated that she helped assist R1 with showering and changing clothes and getting dressed.
Said staff would bring R1 clothes because R1 didn't have alot.
Stated that she knows her schedule and when R1 wants certain things to be done. Said R1 was very nice and polite.
It should be noted that R1's last day residing at the facility was 5/2/2026

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 copy provided to Administrator.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

LIC9099 (FAS) - (06/04)

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