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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 02/12/2026
Date Signed: 02/12/2026 12:27:53 PM

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 LIVINGFACILITY NUMBER:
198603566
ADMINISTRATOR:STEPHANIE FUNDERBURGFACILITY TYPE:
740
ADDRESS:925 EAST VILLA STREETTELEPHONE:
(626) 796-4303
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:220CENSUS: 149DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Maria QuizonTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not ensure facility is free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint investigation visit today 2/12/2026 regarding the above allegations. During today’s visit LPA Trueman was greeted by Administrator Maria Quizon and explained the purpose of the visit.
The purpose of the visit was to investigate the above allegations.

The initial visit was conducted on 11/21/2025 and included the following: LPA Trueman requested and obtained copies of Resident/Client Roster, Staff Roster (LIC 500), Interviews with Business Office Director Michelle Castillo, Staff#1 (S1) and Resident#1-16 (R1-R16) interviews, and physical plant tour was conducted which included the following:
Resident Rooms
1st Floor #107, #111, #113 #121
2nd Floor #206 #214, # 220 A, #220 B, #232, #235, # 213 A, and #213 B.
At today's visit Resident and Staff Roster were submitted, and the Administrator and Staff S1-S5 were
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
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)
Page: 1 of 4
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: 02/12/2026
NARRATIVE
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interviewed.
In regards to the allegation Staff do not ensure facility is free of pests, based on physical plant tour which was conducted which included the following:
Resident Rooms
1st Floor #107, #111, #113 #121
2nd Floor #206 #214, # 220 A, #220 B, #232, #235, # 213 A, and #213 B.
and information gathered there were no pests observed in any resident room and not observed in all common areas of the facility.
Interviews with Residents R1-R16 whom all stated they had not observed any pests in their rooms.
All staff stated they had not observed any pests in the facility or in the resident's rooms.
Administrator stated that the facility is contracted with pest control for routine visits monthly.

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.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
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)
Page: 2 of 4
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 LIVINGFACILITY NUMBER:
198603566
ADMINISTRATOR:STEPHANIE FUNDERBURGFACILITY TYPE:
740
ADDRESS:925 EAST VILLA STREETTELEPHONE:
(626) 796-4303
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:220CENSUS: DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Maria QuizonTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not answer residents calls for assistance timely
INVESTIGATION FINDINGS:
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In regards to the allegation Staff do not answer residents calls for assistance timely,based on interviews conducted and information gathered 4 of 16 residents interviewed stated that there are not enough staff to meet their needs.
4 residents stated they waited at least 30 minutes to 1 hour for staff to respond to them after pressing their pendant.
Also said that on the weekend there is not enough staff so staff can be doing showers for residents and after pressing their pendant for assistance it has been over an hour to have staff respond.
Interview with staff who stated that the facility is understaffed. Said there will be 4 caregivers for over 100 residents.
Said it takes time showering and assisting residents so it takes a long time to respond to resident pendant calls for assistance.
Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
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)
Page: 3 of 4
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2026
Section Cited
CCR
87411(a)
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Personnel Requirements- General
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.
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Licensee will conduct an in-service training regarding timely response to assist residents and also submit a staff schedule which includes additional staffing to meet the needs of over 100 residents and submit POC to LPA by 2/19/2026.
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This requirement was not met as evidenced by:
Based on interviews conducted staff stated there is not enough staff and at times residents aren't assisted in a timely manner 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: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4