Terraces At Park Marino, The

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident received unexplained injury due to neglect

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint visit regarding the above allegation. Due to the Eaton fire, facility was destroyed and therefore this visit is being completed via telephone. LPA contacted administrator, Maria Quizon over the phone and explained the reason for the investigation. The investigation consisted of the following: On 8/6/25 LPA Flores conducted an initial investigation via telephone, interviewed administrator, and requested a resident/staff roster. On 8/20/25 LPA Flores attempted to contact administrator for skill nursing facility adjacent to facility. On 8/27/25 LPA Flores attempted to request a copy of Los Angeles Sheriff’s department (LASD) report. On 10/22/25 Investigator Bureau Amina Luckett from the Investigation Department Bureau provided LPA Flores a copy of LASD report requested. On 10/23/25 LPA Flores contacted administrator and delivered findings. (CONTINUED ON LIC 9099C) Unfoundedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 28-AS-20250729094110

Allegation investigated: Staff did not evacuate resident during mandatory evacuation.

*This supersedes report created on 5/19/25 as findings changed from unsubstantiated to substantiated.* Licensing Program Analyst (LPA) Mary Flores conducted a subsequent complaint investigation regarding the above allegation. Due to the Eaton fire, facility was destroyed and therefore this visit is being completed via telephone. LPA contacted administrator, Maria Quizon over the phone and explained the reason for the subsequent investigation. The investigation consisted of the following: On 2/19/25, LPA Flores conducted a complaint investigation over the phone and interviewed 4 staff. On 2/26/25, LPA contacted Pasadena Fire Department (PFD) to request service logs. On 3/10/25, LPA interviewed 2 additional staff over the phone and attempted to contact PFD Fire Captain. On 3/12/25, LPA submitted a service request to Pasadena Police Department (PPD) and Los Angeles Sheriff Department (LASD). On 3/13/25, LPA conducted a collateral visit and interviewed 7 residents (R1-R7). On 4/7/25, 4/14/the state’s words, verbatim · CDSS document, Aug 7, 2025 · control 28-AS-20250214161239

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not evacuate resident during mandatory evacuation.

Licensing Program Analyst (LPA) Mary Flores conducted a subsequent complaint investigation visit regarding the above allegation. Due to the Eaton fire facility was destroyed and therefore this visit is being done via telephone. LPA contacted administrator Maria Quizon over the phone and explained the reason for the visit. The investigation consisted of the following: On 2/19/25 LPA Flores conducted a complaint investigation visit over the phone and interviewed 4 staff. On 2/26/25 LPA contacted Pasadena Fire Department (PFD) to request service logs. On 3/10/25 LPA interviewed 2 additional staff over the phone and attempted to contact PFD fire captain. On 3/12/25 LPA submitted a service request to Pasadena Police department (PPD) and Los Angeles Sheriff Department (LASD). On 3/13/25 LPA conducted a collateral visit and interviewed 7 residents. On 4/7/25, 4/14/25, 4/23/25 LPA contacted PFD fire captain. On 4/25/25 LPA conducted interview with one responsible party over the phone. (CONTINUthe state’s words, verbatim · CDSS document, May 19, 2025 · control 28-AS-20250214161239

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not provide information on resident’s injury. Staff are retaining residents that require a higher level of care.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Leticia Martinez and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of staff/resident roster. LPA reviewed files for six (6) resident files and requested copies of physician’s report, admission agreement, appraisal needs and service plan, incident reports. On 8/9/24 Administrator provided copies of R1’s file to the department. On 8/26/24 LPA interviewed 5 residents and delivered findings regarding the above allegations. The investigation revealed the following: Regarding allegation: Facility staff did not provide information on resident’s injury. It is alleged R1 sustained a fractured shoulder from a fall, but staff were unable to provide any details about the incident to the resident’s representative. (CONTINUED ON LIC 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 28-AS-20240802160514

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff is restricting resident from seeing a visitor.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation. LPA met with Teresita Villalvaso and explained the reason for the visit. Administrator arrived 20 minutes later. The investigation consisted of the following: LPA requested copies of staff and resident roster. LPA interviewed 7 residents and 5 staff and requested copies of visitor’s sign in log, and visitor’s policy notice for staff. The investigation revealed the following: Regarding allegation: Facility staff is restricting resident from seeing a visitor. It is alleged administrator will not let resident’s visitor, who is a past employee come and see the resident. Interviews with residents revealed that residents are aware of visiting policy and receive visitors at the facility. Visitations have not been restricted for any of the residents. 2 out of the 7 residents mentioned that they have been visit by former staff, who visit them, and they visit outsidethe state’s words, verbatim · CDSS document, Mar 20, 2024 · control 28-AS-20240314134814

Allegation investigated: Questionable death. Staff are not preventing the spread of a communicable disease. Staff are not following proper hand washing.

Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent complaint visit in response to the above-mentioned allegations. LPA met with Administrator Maria Quizon and explained the purpose of the visit. The investigation consisted of the following: During initial visit dated LPA Truman toured facility, obtained a copy of the Staff and Resident Roster, Special Incident Report's (SIR's), Resident Discharge Papers, Line Lists for Department of Public Health (DPH) and Resident Death Reports. No immediate health and/or safety concerns were noted during visit. During todays subsequent visit LPA Herrera obtained copies of Staff and Resident Rosters, Death Reports from months of Feb/March 2023, Department of Public Health clearance letter for Covid-19 and Gastrointestinal Illness from March 2023, incident reports from Feb/March 2023, weekly in-service training sign in sheets from March 2023, interviewed 10 Residents and 4 Staff. (CONTINUED ON 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 14, 2024 · control 28-AS-20230315163209

Allegation investigated: Staff do not treat resident with dignity and respect.

On 3/14/24 at 9:30 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility. Upon arrival LPA met with Administrator Maria Quizon and explained the purpose of the visit. During today’s visit LPA toured the facility with Administrator. LPA obtained resident roster and staff roster. LPA conducted file review for S1 through S3. LPA also interviewed: Administrator and a total of two (5) staff who shall be referred to as S1 through S5. LPA interviewed a total of 10 residents who shall be referred to as: R1 through R10. Report continued on 9099c Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 14, 2024 · control 28-AS-20240306155252

Allegation investigated: Resident developed a pressure injury due to staff neglect. Facility staff did not seek timely medical attention for resident in care. Staff did not notice a change in resident conditions.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met Maria Quizon with and explained the reason for the visit. The investigation consisted of the following: On 11/9/23 LPA Flores conducted a health and safety check, toured commercial kitchen, common areas, residents' rooms were not toured as facility has a COVID breakout. LPA requested the following documents for Resident #1 (R1); physician's report, admission agreement, identification and emergency information, medication sheet for November 2023, needs and service plan, facility's notes. Investigation Bureau Department (IB) investigator Peter Zertuche conducted interviews with 5 facility staff, wound care physician, and requested R1’s medical records. On 3/14/24 LPA Flores conducted interviews with 7 residents and 3 additional staff and delivered findings. (CONTINUED ON LIC 9099C) Substantiatedthe state’s words, verbatim · CDSS document, Mar 14, 2024 · control 28-AS-20231107162836

Allegation investigated: Resident's diapering needs are not being met. Staff mismanaged resident's money. Staff did not ensure facility is kept free of hazards.

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced 10-day complaint visit regarding the above allegations. LPA met with Maria Quizon, Executive Director and explained the purpose of the visit. The investigation consisted of the following: LPA toured the facility focusing on the Memory Care unit common areas and hallways. LPA obtained copies of the Staff & Resident Rosters, Caregivers assignment sheets, Caregivers schedule, Charting notes and Altadena police report information (report #CUS0092, dated 03/01/2024). LPA conducted interviews with Staff #1 (S1) - Staff #8 (S8) and Resident #1 (R1) - Resident #8 (R8). Staff #9 (S9) was already off duty, therefore not interviewed. *****CONTINUED ON LIC9099-C***** Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 5, 2024 · control 28-AS-20240301100923

Allegation investigated: Lack of care and supervision resulted in multiple falls and an injury.

***** This report supersedes the original complaint investigation report dated 8/17/2022 to include additional information. Investigation findings on this report remain the same, UNSUBSTANTIATED.***** Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent unannounced complaint visit to supersede the report and deliver findings for the allegation listed above. LPA met with Maria Quizon, Administrator and explained the purpose of today's visit. During the initial televisit conducted by LPA David SIcairos on 05/06/21, LPA interviewed Staff #1 and obtained copies from Resident #1 (R1) file such as Identification And Emergency Info Sheet, Physician's Report, Resident Assessment, Preplacement Appraisal, Incident Reports, and Death Report. During the subsequent visit on 8/17/2022, LPA Sicairos interviewed Resident #2 - Resident #5 and Staff #1 - Staff #4. R1 was not interviewed as R1 passed away on 11/13/20. During today’s visit, LPA Bennette Pena conducted a tour of the facilitthe state’s words, verbatim · CDSS document, Oct 10, 2023 · control 28-AS-20210428080720

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff allowed dental services to resident without resident's consent.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation. LPA met with Dana Denham and explained the reason for the visit. The investigation consisted of the following: LPA requested copies of resident and staff rosters, interviewed health service director, business office manager, and administrator. During the review of resident roster it was found that resident in question does not reside or resided at the facility. LPA proceeded to request a list of names of residents discharge since 2019. Based on the information gathered during this visit, the allegation is deemed UNFOUNDED. A finding of UNFOUNDED means that the allegation is either false, could not have happened, and/or is without a reasonable basis. Exit interview conducted with Maria Quizon administrator and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Aug 22, 2023 · control 28-AS-20230815120156