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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197604439
Report Date: 06/19/2025
Date Signed: 06/19/2025 10:31:09 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
06/09/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250609091118
FACILITY NAME:CON CARINO INC.FACILITY NUMBER:
197604439
ADMINISTRATOR:GUTIERREZ, CHRISFACILITY TYPE:
740
ADDRESS:1260 N. SIERRA BONITA AVETELEPHONE:
(626) 794-2105
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:6CENSUS: 4DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Linda Morales/S-1TIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Facility staff is charging for services not rendered.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial visit to investigate the above allegation. LPA met with Linda Morales (S-1) and discussed the purpose of today’s visit.

During this investigation, LPA obtained a copy of the staff and resident rosters, interviewed Staff #1 (S-1) through Staff #3 (S-3), reviewed R-1’s file and obtained relevant documentation and obtained a copy of text message dialogues between R-1’s family member and S-1 pertaining to the reimbursement.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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 28-AS-20250609091118
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: CON CARINO INC.
FACILITY NUMBER: 197604439
VISIT DATE: 06/19/2025
NARRATIVE
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Allegation: Facility staff is charging for services not rendered. It has been alleged that the facility staff is charging for services not rendered to R-1. Staff interviews revealed that R-1’s family decided to move R-1 out on 04/29/25 without providing this facility a 30-day notice to vacate. Per S-1, S-1 provided R-1’s family member a billing invoice on 04/29/25 (same day R-1 moved out) for the month of May 2025 as a 30-day notice to vacate was not provided to this facility. Per S-1 and R-1’s admission agreement, R-1 has a month-to-month tenancy which “may be terminated without reason by either party with a 30 day written notice”. Per S-1, R-1 passed away sometime in May 2025 while residing with family and not at this facility. Per S-1, R-1 move-in rate was $1,500.00 and $500.00 of that amount was credited to the family on the 04/29/25 monthly statement. Per S-1, S-1 has not received payment for May 2025. Staff interviews, documentation reviewed and text dialogues between S-1 and R-1’s family member do not corroborate this allegation.

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 conducted. LPA was experiencing technical difficulties during this visit. Therefore, a copy of the report and appeal rights will be provided to Linda Morales/S-1 via email.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2