Con Carino

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Stacy Santana Lopez, Manager, and the visit for the visit was explained. Linda Morales, Administrator, arrived thereafter. The facility is licensed to serve (6) non-ambulatory residents; Hospice approved for (1) resident. Facility is operating within the scope of its license. The facility is in a residential area of Pasadena and it consists of living room, dining room, kitchen, five resident bedrooms, (1) full and (1) half bathroom, laundry/supply room and front and back yard. During today's visit, the following was observed: Facility is clean and walkways, ramps and staircases are free of debris and obstructions. Furniture throughout the facility is in good repair. There is sufficient seating in the living and dining room for residents. Bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Extra linen is kept in hallway closet. Kitchen appliances are clean and were operating at the time of visit. Sharps and cleaning supplies are kept locked inaccessible to residents. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed. Bathrooms were inspected and were observed clean and sanitary. Shower in main bathroom has grab-bars and anti-slip mats. Water temperature was tested in both bathrooms and measured within the required 105 - 120 degrees F. Sufficient personal hygiene supplies for residents are kept in the laundry room. ***Continues on LIC 809-C*** The front and backyard are well maintained and there are no pools or large bodies of water. Shaded areas and seating was observed in the front and backyard. Patio furniture was observed clean and in good repair. Gardens are maintained and outdoor passageways are kept free of debris and obstructions. Washers and dryers were observed to be operable during visit. Basement entry way observed in the backyard was locked and inaccessible to residents. Smoke and carbon monoxide detectors were tested and are working properly. Fire extinguisher in the home is kept charged and was last serviced on 3/30/2026. Last fire/safety drill was conducted on 6/15/26. Fireplace in the living room is covered and is inaccessible to residents. Five resident and five staff files were reviewed and contained required documentation. Medication is kept centrally stored, locked and inaccessible to residents. Medication review was also conducted and medication was observed to be administered and documented accordingly per physician's orders. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies noted during today's visit. Exit interview conducted with Stacy Santana Lopez and Linda Morales, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 16, 2026

Allegation investigated: Facility staff is charging for services not rendered. Facility admission agreement does not have detailed refund policy and procedure. Facility has a suspended corporation.

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 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.the state’s words, verbatim · CDSS document, Sep 12, 2025 · control 28-AS-20250609091118

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87205(b) · Plan of correction due date: Sep 13, 2025

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. 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.the state’s words, verbatim · CDSS document, Sep 12, 2025

Plan of correction: 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.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(3)(G) · Plan of correction due date: Sep 26, 2025

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 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.the state’s words, verbatim · CDSS document, Sep 12, 2025

Plan of correction: 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. 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.

Allegation investigated: Facility staff is charging for services not rendered.

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 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.the state’s words, verbatim · CDSS document, Jun 19, 2025 · control 28-AS-20250609091118

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA), Mayra Cota, conducted an unannounced Required 1 year visit. LPA was granted entrance and met with Dolores Del Caremen Ortiz, Caregiver, and the purpose of the visit was explained. Stacy Santana Lopez, Manager, arrived shortly thereafter. There are four (4) residents currently living in the facility. The facility is licensed to serve (6) non-ambulatory residents ages (60) and above. Hospice waiver approved for (1) resident. The facility is operating within the scope of its licence. The facility is in a residential area of Pasadena and it consists of living room, dining room, kitchen, five resident bedrooms, (1) full and (1) half bathroom, laundry/supply room and front and back yard. During today's visit, the following was observed: Facility is clean and walkways, ramps and staircases are free of debris and obstructions. Furniture throughout the facility was observed in good repair. There is sufficient seating in the living and dining room for residents. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen. There is a closet in the hallway with extra clean linen and towels for residents. Kitchen appliances were clean and were operating at the time of visit. Sharps are locked in a kitchen cabinet and are inaccessible to residents. Cleaning supplies and toxins are locked in a cabinet under kitchen sink. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed and an additional emergency food supply was observed in the Laundry. Food is labeled and kept within expiration limits. An over flow refrigerator is kept in the laundry room and was observed stocked with extra food. ***Continues on LIC 809- C Both bathrooms were inspected and were observed clean and sanitary. Shower in main bathroom has grab-bars and anti-slip mats. The water temperature was tested in both bathrooms and measured at 113.5 degrees F in bathroom 1- and 112.9 degrees F in bathroom 2, which is within the required 105 - 120 degrees F. Sufficient personal hygiene supplies for residents were observed in laundry room for residents in care. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area accessible to residents, located in the front and backyard. Patio furniture observed clean and in good repair. Gardens are maintained and passageways and exits are free of obstruction. Laundry room in the back of the house was observed free of clutter and washers and dryers were observed to be operable during visit. Basement entry way observed in the backyard was locked and inaccessible to residents. Smoke detectors were observed throughout the facility and were tested and observed to be working properly. Carbon monoxide detector located in the hallway was also tested and was also observed to be working properly. Two fire extinguisher, one located by the kitchen and one in the laundry room were observed to be charged and were last inspected on 5/31/25.. Last fire/safety drill was conducted on 6/2/25. Exit doors are equipped with door chimes and were tested and working properly. Fireplace in the living room is covered and is inaccessible to residents. Four resident and five staff files were reviewed and contained required documentation. Files were observed locked appropriately. Medication observed centrally stored, locked and inaccessible to residents. Medication review was also conducted and medication was observed to be administered and documented accordingly per physician's orders. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed and noted during today's visit. Exit interview held with Stacy Santana Lopez, Manager, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Erik Zaragoza conducted an unannounced Required 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Stacy Lopez, Manager of the home, and was granted entrance to the facility. Administrator and Owner Linda Morales arrived shortly thereafter. There are five (5) residents currently living in the facility. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control practices and Personal Protective Equipment (PPEs) were observed. · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) non-ambulatory residents and is approved for a hospice waiver for one (1) resident, however there are two (2) residents who are identified as bedridden in their physician’s report. The facility consists of a living room, a dining room, four (4) resident rooms, two (2) resident bathrooms of which restroom #1 (R1) had a hot water temperature reading of 108.2 Degrees F, and restroom #2 (R2) had a hot water temperature reading of 109.2 Degrees F, a kitchen, a backyard area that contains a shaded area, and a separate storage room which contains the facility’s emergency food supply along with the washer and dryer machines. Knives, chemicals, and cleaning supplies are kept locked and away from residents in the storage room and underneath a cabinet in the kitchen. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has one (1) fully charged fire extinguisher located in the kitchen of the facility. There were no sharp objects that were left accessible to residents. · Water temperature readings were within the required range of 105 - 120 degrees Fahrenheit. · The See Something, Say Something (PUB 475) poster was not located within the facility. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by the City of Pasadena Fire Department for a capacity of six (6) non-ambulatory residents and is approved for a hospice waiver for one (1) resident. · Care and supervision to meet the clients’ needs was observed. Staffing: · A total of forty-five (45) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Five (5) staff files were reviewed for criminal background clearance and training. · Personnel records have health/TB screenings, CPI training, certifications, and 1st Aid/CPR training. · Documented annual retraining on dementia care, hospice care, and postural support care was not found within the facility. · Administrator’s certificate expires on 1/3/2025. Resident Rights/Information: · Physician orders were reviewed for five (5) resident files. · Medications were also reviewed for five (5) residents. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. One resident’s admissions agreement was not dated since their admission on 4/1/2024. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan was publicly posted and found within the facility. · An emergency and disaster drill was last conducted on 5/4/2024. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs: · The facility has a non-ambulatory fire clearance for each room that will be used to accommodate residents with a dementia diagnosis. · Staff that provide direct care to residents with dementia receive training related to dementia care. · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, May 31, 2024