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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 07/24/2026
Date Signed: 07/24/2026 05:10:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
07/06/2026 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260706143444
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: 155DATE:
07/24/2026
UNANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Maria Quizon - Executive DirectorTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Staff is not qualified to perform duties as a Wellness Director
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint investigation to investigate the allegations listed above. LPA met with Executive Director Maria Quizon and explained the reason for the visit.

The investigation consisted of the following:

On 7/9/26 LPA Chan conducted the initial visit and obtained copies of the staff roster, resident roster, the job description for the Wellness Director and reviewed the file of the current Wellness Director. During todays visit LPA Herrera reviewed Staff 4 and Staff 2’s files (S4 &S2), obtained copy of Wellness Coordinator Job Description and conducted interviews with 4 Staff (S1-S4).

Continued on LIC9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
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-20260706143444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: ASTORIA PARK SENIOR LIVING
FACILITY NUMBER: 198603566
VISIT DATE: 07/24/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Staff is not qualified to perform duties as a Wellness Director


It is alleged that the current Wellness Director does not meet the qualifications/requirements of the jobs description. LPA reviewed the Wellness Director Job Description and reviewed the previous Wellness Director’s file (S5) and S5 had all the qualifications, requirements and training's within their file. S5 left the facility for another job on 6/26/26 and per Interview with the Executive Director they have not yet filled the position but they have promoted a staff for the Wellness Coordinator position which is a step higher than Medication Technician (Med-Tech) and acts as an assistant to the Wellness Director. Executive Director also stated that they have assistance with their Corporate Office where the Nurses/LVN’s assist the facility daily until a proper fit for the Wellness Director position is found. LPA reviewed S2’s file and all qualifications and requirements listed on the job description were observed in file. LPA interviewed a total of 4 staff and each denied there currently being a Wellness Director and stated that the previous Wellness Director stopped working at the facility in June 26, since then there have been Nurse’s/LVN’s helping along with the Memory Care Director assisting when needed.

Based on statements and interviews conducted with staff, review of staff files and facility file records, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2