198603566-5-29-2026-28-AS-FFIS-DUMNS8-20260601104241

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603566
Report Date: 04/28/2026
Date Signed: 05/29/2026 08:53:29 AM

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
11/25/2025 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20251125090516

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: 153	DATE:	04/28/2026
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Executive Director, Maria Quizon		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff left a resident in a soiled diaper for a long period of time.
Staff did not administer medications to a resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted a subsequential visit to the facility and met with Maria Quizon, Executive Director and discussed the above-mentioned allegations.LPA Vaid collected staff and residents' rosters.

On 12/02/2025, Licensing Program Analyst (LPA) Vaid conducted 10-day initial complaint visit and met with Michelle Paradilla-Business Office Manager, the visit was discussed. Wellness Director arrived shortly after.
LPA Vaid requested and obtained the following documents- Resident#1 -Resident #5 -ID and face sheet, physicians report, residents’ incontinence care list, medication list. NOC shift staff contact information. Caregiver and medication technicians’ weekly schedules.
LPA toured the facility with Michelle Castillo and did not observe any health and safety concerns. LPA Vaid did not interview resident 1(R1) they are at hospital. LPA Vaid need to interview NOC shift staff. Due to insufficient information gathered today, this complaint needs further investigation. LPA may return at future date.

The investigation revealed the following:
CONTINUED ON 9099C...........................

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

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-20251125090516

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: 04/28/2026

NARRATIVE

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Regarding the allegation: Staff left a resident in a soiled diaper for a long period of time. It is alleged that staff are not changing R1’s and R2’s adult briefs for long periods of time during the NOC shift. It is alleged staff takes very long time before responding to residents’ incontinent needs. Eight (8) of Eight (8) staff deny this, according to staff residents are check for incontinent changes upon starting, during and before the end of each shift, staff stated providing Assisted daily Living needs to residents needing incontinent services three times per shift and as needed for a few residents requiring constant incontinent care needs. During NOC shift staff make nighty checks upon incontinent needing residents, staff periodically checks upon residents' needing constant incontinent care due to their medical conditions and avoid residents' developing UTI's and sores on their privates. Staff stated they communicate residents’ issues with the next shift and take appropriate actions when required. Nine (9) of eleven (11) residents could not corroborate this allegation. Residents stated they receive incontinent care throughout the day and night and when needed. Residents' also stated, not being left in soiled adult briefs to develop a sore in their private areas. Six of eleven residents stated staff responds within 10 minutes of call for incontinent care. Based on interviews and records review, 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.

Regarding the allegation: Staff did not administer medications to a resident in care. It is alleged that staff are not administering medications to R1. Eight of eight staff deny this, staff stated administering R1’s medications as prescribed by the physicians’ orders. Medication is administered one hour before or after the medication stated times. Review of medical records for R1 observed medications administered and refused by R1, PRN medication for pain did not exceed prescribed amount. Seven of eleven residents stated being administered their medications within a reasonable time. Based on interviews and records review, 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 was conducted and a copy of this licensing report was provided to Executive Director, Maria Quizon.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

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