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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602896
Report Date: 05/12/2026
Date Signed: 05/12/2026 03:12:25 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
04/07/2026 and conducted by Evaluator Elena Mallett
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260407083604
FACILITY NAME:PASADENA GUEST HOMEFACILITY NUMBER:
198602896
ADMINISTRATOR:HAZZARD, CAROLEEFACILITY TYPE:
735
ADDRESS:1025 N. LOS ROBLES AVENUETELEPHONE:
(626) 798-0869
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:30CENSUS: 24DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Administrator - Carolee HazzardTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility did not ensure residents' shower/bath accomodations were met.
Facility did not ensure the central heat was properly working.
Facility was in disrepair.
INVESTIGATION FINDINGS:
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***This licensing report supersedes the licensing report delivered on 04/14/2026. The reason for the superseded report is to clarify language in Licensing Report and add additional information obtained during the investigation. The investigation findings will remain the same. ***
Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced subsequent Complaint visit to investigate the allegations listed above. LPA met with Administrator Carolee Hazard and the purpose for the visit was explained.
On today’s visit, LPA asked and obtained a client and staff roster and LPA measured the hot water temperature in each bathroom ( First Floor Bathroom 1 - 155F , First Floor Bathroom 2 -160F , First Floor Bathroom 3 -149F , Second Floor Bathroom 4 - 151F , Second Floor Bathroom 5 - 72F Second Floor Bathroom 6- 152F. Hot water is turned off temporarily in Bathroom 5 by repairman working at facility.
On 04/14/26, Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced initial complaint visit to investigate the allegations. LPA met with Administrator Carolee Hazzard and the purpose of the visit was explained. LPA observed the facility is retaining 24 clients in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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 7
Control Number 28-AS-20260407083604
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: PASADENA GUEST HOME
FACILITY NUMBER: 198602896
VISIT DATE: 05/12/2026
NARRATIVE
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Regarding allegation: Facility did not ensure the central heat was properly working, it is alleged that the owner would turn the heat on downstairs, but there was no heat upstairs, and the owner would not allow clients to have personal heaters in their rooms. LPA interviewed five (5) clients, two (2) out of five (5 )clients confirmed there is no heat upstairs. Administrator acknowledged the heater in the facility has not worked upstairs since January 2026 and stated there was no current work order in place to repair the heater. S1 stated the facility always needs repairs, but repairs are made. S 2 stated the facility is in good repair. Administrator Hazzard acknowledged there are items that need to be repaired. Administrator stated there were no work orders to repair the upstairs heater. The investigation revealed that the heater upstairs is not working.

The investigation revealed that the facility contains several items that need to be repaired and are not in the process of being repaired. The facility is in disrepair.

Based on LPA observations and interviews which were conducted with staff and clients, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies were cited today per Title 22. An exit interview was conducted with Administrator Carolee Hazzard and a copy of this Licensing Report and Appeal Rights were provided

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 28-AS-20260407083604
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: PASADENA GUEST HOME
FACILITY NUMBER: 198602896
VISIT DATE: 05/12/2026
NARRATIVE
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 Client Bathroom#6 located on the Second Floor – Bathroom sink/toilet operable. Bathtub was inoperable, due to no water came out of the bathtub faucet. Hot water temperature (Sink/Faucet) measured at 151F.

Per Title 22 85088(b)(2) Fixtures, Furniture and Equipment and Supplies states there must be at least one bathtub or shower maintained for each ten persons residing in the facility. The facility was observed to have 24 clients in care which would necessitate 3 bathtubs/showers to be in compliance. The facility was observed to have only two operable bathtub/showers. The investigation revealed that the facility is not ensuring clients showering/bathing accommodations are being met.

Regarding Allegation: Facility was in disrepair. It is alleged that the facility is in disrepair , the clients’ rooms have holes in the walls, there is dry rot present around the toilets. It is also alleged the central heat is not working properly resulting in the upstairs area of the facility not having heat. It is alleged that when clients use hot water for showers, the hot water is not reliable. Five (5) out five (5) clients interviewed stated the facility was not in disrepair and that hot water was available for showers. Administrator Hazzard acknowledged there are items that need to be repaired. Administrator stated there were no work orders to repair the items in disrepair. S1 stated the facility always needs repairs, but the repairs are made. S2 stated the facility is in good repair. Administrator, S1 and S2 stated hot water is available for showers.

During the tour of the physical plant on 04/14/26, LPA observed the following:

· Bathroom 3- First Floor (South Side) had an entire section of tile missing near the shower entry and a 30 inch long circle of plaster missing from the bathroom wall.

· Bathroom 6 - Second Floor (North Side)- had a chunk of the wall missing and the tub was not working and there was a crack on floor near toilet

· Bathroom 5 -Second Floor (North Side) has a plate sized dry rot area by the toilet.

· Client Rooms -LPA did not observe any holes inside of client room walls.

· Client Room # 11- LPA observed the outside door was splintered and broken.

· North Side Stairwell – LPA observed the light bulb did not turn on and was burnt out.

The investigation revealed that the facility is in disrepair, as listed above.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 28-AS-20260407083604
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: PASADENA GUEST HOME
FACILITY NUMBER: 198602896
VISIT DATE: 05/12/2026
NARRATIVE
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The investigation consisted of the following:

On 04/14/26, LPA Mallett obtained copies of staff/client rosters and facility electric bill from March 2026. LPA toured ten(10) resident rooms and six (6) bathrooms of which five (5) bathrooms are for client use and one (1) bathroom is for staff use. LPA interviewed Administrator, Staff 1 and 2 (S1-S2) and five (5) clients (C1-C5).

Regarding Allegation: Facility did not ensure residents shower/bath accommodations were met.It is alleged that there was only one(1) working shower and one (1) working bathtub for 30 clients and the bathtub had mud coming out of the faucet.

Five (5) out of five (5) clients interviewed stated there was (1) working shower and one (1) working bathtub available for client’s bathing needs. Administrator and Staff 1 (S1) confirmed that the shower in bathroom #3 and bathtub in bathroom #4 are for client use, however, both bathroom #3 and #4 are not being used by clients for bathing due to bathroom #3 ‘s flooring being in disrepair, and the bathtub faucet in bathroom #4 is inoperable.

During the tour of the physical plant conducted on 04/14/26 ,LPA observed the following:

Staff Bathroom #2-located on the First Floor- Bathroom sink/toilet operable. Bathroom does not contain a bathtub or shower. Hot water temperature in (sink/faucet ) measured at 160F.

Client Bathroom #1 located on the First Floor- Bathroom shower/sink/toilet operable. Hot water temperature (Sink/Faucet) measured at 155 F.

Client Bathroom # 3 located on the First Floor - Bathroom shower/sink/toilet operable. Shower cannot be used by clients due to a big chunk of the bathroom floor at the shower entry is missing. Hot water temperature in (Sink/Faucet) measured at 149 F.

Client Bathroom #4- located on the Second Floor - Bathroom sink/Bathtub/toilet operable. Water came out of the bathtub faucet. No mud was observed coming out of the bathtub faucet. Hot water temperature (Sink/faucet) measured at 152F

Client Bathroom #5- located on the Second Floor- Bathroom sink/toilet operable. The bathroom did not contain a shower or bathtub. Hot water temperature (Sink / Faucet) measured at 72F.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
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
04/07/2026 and conducted by Evaluator Elena Mallett
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260407083604

FACILITY NAME:PASADENA GUEST HOMEFACILITY NUMBER:
198602896
ADMINISTRATOR:HAZZARD, CAROLEEFACILITY TYPE:
735
ADDRESS:1025 N. LOS ROBLES AVENUETELEPHONE:
(626) 798-0869
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:30CENSUS: 24DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Administrator - Carolee HazzardTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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2
3
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5
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Facility did not have electricity for an extended period of time.
INVESTIGATION FINDINGS:
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***This licensing report supersedes the licensing report delivered on 04/14/2026. The reason for the superseded report is to clarify language in Licensing Report and add additional information obtained during the investigation. The investigation findings will remain the same. ***
Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced subsequent Complaint visit to investigate the allegations listed above. LPA met with Administrator Carolee Hazard and the purpose for the visit was explained.
On today’s visit, LPA asked and obtained a client and staff roster and LPA measured the hot water temperature in each bathroom ( First Floor Bathroom 1 - 155F , First Floor Bathroom 2 -160F , First Floor Bathroom 3 -149F , Second Floor Bathroom 4 - 151F , Second Floor Bathroom 5 - 72F Second Floor Bathroom 6- 152F. Hot water is turned off temporarily in Bathroom 5 by repairman working at facility.
On 04/14/26, Licensing Program Analyst (LPA) Elena Mallett conducted an unannounced initial complaint visit to investigate the allegation. LPA met with Administrator Carolee Hazzard and the purpose of the visit was explained. LPA observed the facility is retaining 24 clients in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 28-AS-20260407083604
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: PASADENA GUEST HOME
FACILITY NUMBER: 198602896
VISIT DATE: 05/12/2026
NARRATIVE
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Regarding Allegation: Facility did not have electricity for an extended period of time. It is alleged that the facility was without electricity at least 5 times due to power company disconnecting power due to non-payment of bill. Interviews with 5 out 5 clients, 2 out 2 staff and the Administrator did not corroborate there ever being loss of electricity to the facility for any amount of time other than a few hours for a scheduled power outage by the power company. Administrator stated electricity had never been cut off from the facility due to non payment of the bill. Administrator stated electricity had never been cut off from the facility due to non-payment of the bill. Administrator provided a copy of the March utility bill that indicated the facility had made a current payment. LPA observed the facility to have electricity during visit.

The investigation revealed that facility had never been without electricity for an extended amount of time due to non-payment of the electric bill.

Based on observation, record review and interviews this allegation is not supported.

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.

An exit interview was conducted with Administrator Carolee Hazzard and a copy of this Licensing Report was provided.

SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 28-AS-20260407083604
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: PASADENA GUEST HOME
FACILITY NUMBER: 198602896
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2026
Section Cited
CCR
80087(a)
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Buildings and Grounds 80087
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

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By POC due date, Administrator will fax a plan for repairing all of the items listed in Licensing Report. The plan shall include a start date and finish date for repairs. Bedroom door 11 will be repaired by POC due date. Administrator to send photos via email to LPA when all work is completed.
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The above requirement is not met as evidenced by Bathrooms 3 , 5 , and 6 have floors, walls and tub that need repairs. Upstairs heater broken. Bedroom 11 door needs repairs and north hallway lightbub needs to be fixed. This poses a potential health and safety risk to clients in care.

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Type B
05/15/2026
Section Cited
CCR
85088(b)(2)
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85088 Fixtures, Furniture, Equipment and Supplies
(b) Toilet,washbasin and shower fixtures shall at a minimum meet ...
(2) At least one bathtub or shower shall be maintained for each ten persons residing in the facility.

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By POC due date Administrator will make available another tub/shower for use by clients in care and submit proof of this to LPA by fax.
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The above requirement is not met as evidenced by there are 24 residents residing in the facility and there are only two tub/shower available for use. This poses a potential health and safety risk for clients in care.

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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: Fernando Fierros
LICENSING EVALUATOR NAME: Elena Mallett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7