197609014-11-27-2023-31-AS-TAGD-CYN28Q-20231218161043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609014
Report Date: 11/27/2023
Date Signed: 11/27/2023 12:30:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/17/2023 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20231117130840

FACILITY NAME:	EL MOLINO MANOR		FACILITY NUMBER:	197609014
ADMINISTRATOR:	PASCASIO, GLORIA		FACILITY TYPE:	735
ADDRESS:	2544 N EL MOLINO AVENUE		TELEPHONE:	(626) 639-4270
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	36	CENSUS: 30	DATE:	11/27/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Zep & Tony Pascasio		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Facility illegally evicted resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness conducted an initial complaint investigation, and met with Administrators Zep & Tony Pascasio, who was informed the reason of the visit. .

From 1030am to 1pm, LPA conducted interviews staff and residents. From the information obtained, it was revealed to LPA that resident #1 (R1) never received an eviction notice; but a written notice of failure to pay for rent November 2023. The facility received rent; but the check was returned for non-sufficient funds, and a notication letter was given to R1. LPA reviewed the document and determined that it was not an eviction notice. It was also reported to LPA that the issue has been resolved and rent was fully paid. Therefore, based interviews and documentation, the allegation is Unsubstantiated.

Exit interview and copy of report provided to Administrators.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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