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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197604439
Report Date: 09/12/2025
Date Signed: 09/12/2025 12:16:12 PM

Substantiated


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: 6DATE:
09/12/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Linda MoralesTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility staff is charging for services not rendered.
Facility admission agreement does not have detailed refund policy and procedure.
Facility has a suspended corporation.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegations. On 06/19/25, LPA conducted an initial visit to investigate the first allegation noted above: Facility staff is charging for services not rendered. This report supersedes the previous report dated 06/19/25 due to additional information received and due to this, allegations were added and the findings were revised. LPA was allowed entry by Dolores Del Carmen Diaz and discussed the purpose of today’s visit. Linda Morales arrived at approximately 9:20 A.M..

During the 06/19/25 visit, 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.

During today’s visit, LPA interviewed S-1 pertaining to allegations: Facility admission agreement does not have detailed refund policy and procedure and Facility has a suspended corporation. **Refer to LIC 9099C for the continuation of this report.**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
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 3
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: 09/12/2025
NARRATIVE
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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 Ms. Morales, as of today, payment has not been received nor has been requested again). 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”. However, R-1’s admission agreement does not include details pertaining to what would occur if a 30-day notice is not provided. Documentation corroborates this allegation.

Facility admission agreement does not have detailed refund policy and procedure. It has been alleged that this facility did not provide the move-in refund of $1,500.00 for R-1. R-1 was admitted to this facility on 02/28/25 and moved out on 04/29/25. 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 for May 2025 that was provided to R-1’s family on 04/29/25 (move-out date). However, R-1’s admission agreement does not have a section/policy and procedure for the move-in fee with details as to what is covered under this fee, including information on refunds. Documentation corroborates this allegation.

Facility has a suspended corporation. It has been alleged that this facility has a suspended corporation. Based on record review, licensee failed to maintain good standing with the Secretary of State requirements, which poses a potential health and safety risk to persons in care. As of 09/12/25, this facility still has a suspended status which is not in good standing with the FTB as noted in the State of California Secretary of State search portal. Ms. Morales acknowledged that this facility has a suspended status which is not in good standing with the FTB and is currently working on resolving this matter. Documentation and Ms. Morales' acknowledgement corroborates this allegation.

Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies cited. Refer to LIC 9099D.

Exit interview conducted. A copy of this report and appeals rights were provided to Linda Morales.

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

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2025
Section Cited
CCR
87205(b)
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Accountability of Licensee Governing Body (b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability.
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1) Administrator to submit written statement of steps taken with the State of California Secretary of State regarding resolution of FTB suspension by 09/13/25 to LPA Irra. 2) Administrator to submit updated/active filling to this Department when received.
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This standard is not met as evidence by: Facility corporation has been suspended and inactive since 04/02/2024 (per California Secretary of State Business Search). Additionally, Ms. Morales is aware of this status and is currently working on resolving this matter.
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Type B
09/26/2025
Section Cited
CCR
87507(g)(3)(G)
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Admission Agreements (g) Admission agreements shall specify the following: (3) Payment provisions, including the following: (G) A comprehensive description of billing and payment procedures. This standard is not met as evidence by: R-1's admission agreement does not include details pertaning
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Administrator to review current admission agreement and revise accordingly pertaining to 30-day eviction notice to vacate and include what will occur if a 30-day notice to vacate is not provided.

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to what would occur if a 30-day notice to vacate is not provided and does not have a section/policy and procedure for the move-in fee with details as to what is covered under this fee, including information on refunds.
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Administrator to review current admission agreement and revise accordingly pertaining to the move-in fee (to include a section/policy and procedure for the move-in fee with details as to what is covered under this fee, including information on refunds). Revisions to be submitted to LPA Irra by 09/26/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3