<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881132
Report Date: 10/08/2025
Date Signed: 10/08/2025 09:08:29 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/22/2022 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220222163413
FACILITY NAME:ASTORIA CARE HOMESFACILITY NUMBER:
331881132
ADMINISTRATOR:ABRUDAN, SELINAFACILITY TYPE:
740
ADDRESS:73765 MONET DR.TELEPHONE:
(714) 277-9980
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY:6CENSUS: 4DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
08:01 AM
MET WITH:Jeffrey Monteverde - Caregiver TIME COMPLETED:
09:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident's care needs are not being met while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegation. LPA met with Jeffrey Monteverde and explained the reason for the visit.

The investigation consisted of the following: On 3/1/22 LPA Danielson conducted an initial complaint investigation visit. On 9/25/25 LPA Flores contacted administrator via telephone and requested a copy of physician’s report, identification and emergency information sheet, needs and care plan, incident reports for resident #1(R1). On 10/7/25 LPA Flores contacted R1’s responsible party. On 10/8/25 LPA Flores conducted a subsequent visit, toured the facility with Jeniza Cawayan – Staff, requested additional pertaining documents for R1, and delivered findings.

The investigation revealed the following: Regarding allegation: Resident’s care needs are not being met while in care. It is alleged a resident was observed living in unsafe condition and neglected.
(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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 18-AS-20220222163413
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ASTORIA CARE HOMES
FACILITY NUMBER: 331881132
VISIT DATE: 10/08/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Interviews conducted with residents revealed 2 out of 4 residents state to receive care for their needs, meals, and they have no concerns regarding the facility or staff, 2 out of 4 residents were unable to communicate due to cognitive skills. Interviews with staff revealed staff provide care for residents, R1 was provided care during the time R1 we activities of daily living. Per administrator there was no neglect, the facility staff provided care for R1. Interview conducted with responsible party revealed to never had concerns about R1’s care at the facility and observed that R1 was provided care while living there. Also stated the facility looked in good repair when visited. LPA was unable to interview R1 as the resident no longer lives at the facility. Documents reviewed reveal, per physician’s report dated: 7/12/21 R1 needed assistance with most activities of daily living. During today’s visit LPA observed the facility clean and in good repair, chemicals and sharps were observed locked, each residents’ room had all the required furniture and lighting, and sufficient food supplies were observed.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Jeffrey Monteverde and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2