Del Mar Park

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 ensure that resident's hygiene needs are being met.

Licensing Program Analyst (LPA) Tao conducted an unannounced 10-day complaint visit to this facility. Upon arriving at the facility, LPA met with Administrator Denise Sutton. LPA explained the purpose of today’s visit and discussed the allegation mentioned above to Administrator Sutton. The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster and residents’ facility files. The investigation revealed that, in regards of facility staff did not ensure that resident's hygiene needs are being met, it was alleged that a resident’s clothes were not changed and showers were not provided for residents who need bathing assistance. Per the resident interviews, nine (9) out of nine (9) residents interviewed could not corroborate the allegation. It revealed residents who need bathing assistance were bathed as scheduled twice or three times a week. Clean clothes were changed after shower and as nethe state’s words, verbatim · CDSS document, May 15, 2026 · control 28-AS-20260512090501

Allegation investigated: Staff hit a resident.

Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced subsequent complaint visit to investigate the above allegation. LPA was met by Arineh Vartanian Community Liasion and explained the purpose of the visit. Administrator Denise Sutton was contacted by phone and joined the visit shortly after. During today’s visit, LPA requested and obtained resident and staff rosters and toured the physical plant. No immediate health and safety concerns were observed. The initial visit was conducted on 03/09/26. During the initial visit, the investigation consisted of interviews with Staff #1-#6 (S1-S6) and with Residents #2-#9(R2-R9). LPA toured the physical plant. LPA requested and obtained the following documents: Staff Roster and Resident Roster for February and March 2025 , Resident ADL Master List, Personal Rights Training for S1-S6. LPA obtained the following documents from R1's file: Physician's report, Preplacement Appraisal Information and all SIRs. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2026 · control 28-AS-20260302100048

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 handled the resident in a rough manner.

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint visit on 02/28/2026, regarding the above allegation to deliver findings. On 01/21/2026, LPA Ramirez conducted an unannounced initial visit and a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Denise Sutton and explained the purpose of the visit The investigation consisted of the following: LPA Ramirez requested and obtained copies of Staff Roster, Resident Roster, Staff interviews#1- 5 (S1-S5) Resident interviews #1-5 (R1-R5), copies of R1's: physician's report, Preplacement Appraisal Information, R1’s Unusual Incident Report/Special Incident Reports, and physical plant tour. See 9099-C for continued report Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 28, 2026 · control 28-AS-20260115143117

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 do not ensure resident has privacy in their room. Staff interacts with residents in an inappropriate manner.

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint visit to investigate the above allegations and deliver findings. LPA met with Supervisor, Denise Sutton and explained the purpose of the visit. The investigation consisted of the following: On 11/03/2025, LPA toured the facility, inspected Resident #1 (R1) - Resident #2 (R2) rooms, obtained copies of the following files: staff & resident rosters, in-service training regarding residents rights and privacy (09/18/2024), Resident handbook, 30-day notice of room change provided to R1 (dated 10/20/2025), R1's notes (dated 08/28/2025, 08/29/2025 & 10/27/2025 ), email correspondence (dated 10/15/2025), and (R1)'s files relevant to the investigation. LPA interviewed Staff #1 (S1) - Staff #4 (S4) and Resident #1 (R1) - Resident #6 (R6). During today’s visit, LPA obtained staff & resident rosters and delivered findings. *****CONTINUED ON LIC9099-C***** Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 10, 2025 · control 28-AS-20251028080701

Allegation investigated: Staff did not safeguard resident's personal belongings.

Licensing Program Analyst (LPA) Nune margaryan conducted an unannounced initial complaint investigation visit regarding the above allegation. LPA met with Denise Sutton, Supervisor and explained the reason for the visit. The investigation consisted of the following: LPA Margaryan obtained a copies of the Staff roster, Residents roster, reviewed Resident 1(R1) and Resident 2 (R2) files and obtained copies of relevant documents. Interviews conducted with Supervisor, Staff 1 and Staff 4 (S1 and S4), Resident 1(R1) to Resident 6 (R6). Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 24, 2025 · control 28-AS-20251016205205

Allegation investigated: Resident does not have a call signal button in the room Resident is not being provided assistance per care and needs plan Staff entered resident's room without permission resulting in broken furniture

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced complaint investigation visit regarding above allegations. LPA met with Denise Sutton Medical Coordinator and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of resident/staff roster, conducted a tour of the facility and observed 5 resident bedrooms. LPA interviewed five (5) residents and six (6) staff and requested a copy of admission agreement, physician’s report, preplacement appraisal, and apparel needs and service plan for resident #1(R1). SEE LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 11, 2025 · control 28-AS-20250910102233

Allegation investigated: Staff are not following admissions agreement. Staff are unable to communicate with resident due to language barrier.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding above allegations. LPA met with Denise Sutton Medical Coordinator and Dana Perez Resident Service Coordinator and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of resident/staff roster, conducted a tour of the facility and observed 3 resident room and dining area. LPA interviewed 6 residents and 6 staff and requested a copy of admission agreement, physician’s report, preplacement appraisal, pharmacy invoice, and letter dated 8/25/25 for resident #1(R1). Regarding allegation: Staff are not following admission agreement. It is alleged resident is not being allowed to stay in assigned room per admission agreement. Interviews with residents revealed 5 out of 6 residents have not had issues with their room accommodations. 1 out of 6 residents stated they were asked to move out of their room and they did not wish to switch roomsthe state’s words, verbatim · CDSS document, Sep 4, 2025 · control 28-AS-20250828081551

Allegation investigated: Facility is in violation of their fire clearance

Licensing Program Analysts (LPA) Luis De Leon conducted an unannounced complaint investigation visit for the allegation listed above. LPA met with the Assistant Administrator Denise Sutton and explained the reason for the visit. The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant with Assistant Administrator Denise Sutton. LPA obtained the current client and staff roster, physician reports, list of residents in hospice care, and hospice assessment. Regarding allegation: Facility is in violation of their fire clearance. It is alleged that the facility is retaining bedridden residents in violation of their fire clearance which was only approved for non-ambulatory residents. The fire clearance for bedridden was denied on 11/21/2024. The current fire clearance was approved for 124 non-ambulatory residents only. The investigation revealed that seven (7) out of seven (7) residents denied knowing anyone at facility being bedridden or needing hthe state’s words, verbatim · CDSS document, Jul 24, 2025 · control 28-AS-20250716133904

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: Staff handled resident in a rough manner

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Administrator Denise Sutton and explained the reason for the visit. The investigation consisted of the following: LPA conducted interviews with Administrator Denise Sutton, Staff 1-5 (S1-5) and Residents 1-5 (R1-5). LPA obtained copies of Staff and Resident Rosters. LPA reviewed R1's facility file. LPA collected copies of documents pertinent to the complaint investigation. LPA conducted a tour of the facility inside and out which consisted of inspection and observations of the lobby, and (5) five resident rooms. LPA conducted a phone call with R1's Family Member (C1 FM). (See LIC9099C for continuation) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 28, 2024 · control 28-AS-20240319134029

Allegation investigated: Facility mismanaged resident's medications.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation regarding the above allegation. LPA met with Denisse Sutton and explained the reason for the visit. The investigation consisted of the following: LPA requested staff and resident roster, reviewed medication for 7 residents, interview 7 residents and 5 staff, reviewed resident #1(R1)’s and resident #2(R2) medication and requested copies of medication sheet for January and February 2024 for both residents, resident’s notes, medication error report form dated 1/30/24, incident report dated 2/2/24,physician’s report for R1, face sheet, and staff #1(S1)’ medication training. The investigation revealed the following: Regarding allegation: Facility mismanaged resident's medications. It is alleged that resident took someone else medication and resident is now hospitalize. (CONTINUED ON LIC 9099C) Substantiatedthe state’s words, verbatim · CDSS document, Feb 13, 2024 · control 28-AS-20240207115418

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: Questionable death. Staff did not reposition resident resulting in resident sustaining a stage 4 pressure injury. Staff did not change resident's diaper in a timely manner.

Licensing Program Analyst (LPA) Elizabeth Irra conducted an investigation for the above allegations. LPA met with Denise Sutton (Administrator) and discussed the purpose of today's visit. LPA conducted a tour of the building and grounds and did not observe any signs of neglect, abuse or other immediate health and safety threats. During this visit, LPA obtained a copy of the staff and resident rosters, LPA reviewed and obtained copies of the Resident Daily Census reports for March 2023 through June 2023 and interviewed Denise Sutton (Administrator) and Dana Perez (Resident Service Coordinator). Refer to LIC 9099C for the continuation of this report. Unfoundedthe state’s words, verbatim · CDSS document, Dec 14, 2023 · control 28-AS-20231212155347

Allegation investigated: Facility meals do not meet the needs of the resident(s). Resident's bathroom is in disrepair.

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to investigate the above allegations. The purpose of the visit was discussed with Denise Sutton. The investigation consisted of the following: On 4/27/2023, LPA conducted a physical plant tour of the facility with focus on room #202 and the kitchen. Staff (S1- S3) were interviewed. LPA reviewed resident (R1's) file and obtained copies of file documents [Face Sheet, Physician Report, Admission Agreement, Resident Appraisal, hospital discharge documents, resident notes, Medication Administration Record (MAR), physician orders, weekly [ Sun. April 19- April15] food menu, special diet menu, alternate food menu, resident service plan, and staff and resident rosters. On 4/28/2023, resident (R1) was interviewed at their new place of residence. During today's visit, a physical plant tour was conducted with focus on 7 resident room bathrooms and kitchen food service. Residents (R2 - R8) and staff (S4) were interviewethe state’s words, verbatim · CDSS document, Oct 20, 2023 · control 28-AS-20230418110249