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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602896
Report Date: 07/14/2026
Date Signed: 07/14/2026 03:29:12 PM

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
07/09/2026 and conducted by Evaluator Mayra Cota
COMPLAINT CONTROL NUMBER: 28-AS-20260709081558
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: 25DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Carolee Hazzard, AdministratorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not provide client with comfortable accommodations.
Staff did not ensure client had access to water.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced 10-day complaint visit to investigate the above-mentioned allegations. LPA met with Carolee Hazzard, Administrator, and the reason for the visit was explained.

During today’s visit, LPA obtained copies of staff and resident rosters, toured the common areas of the facility, conducted interviews with Staff 1 – Staff 2 (S1-S2) and Client 2 – Client 8 (C2-C8). LPA also reviewed relevant documents pertaining to the investigation. LPA was unable to interview Client 1 during the course of the investigation.

The investigation revealed the following:

***Continues on LIC 9099-C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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 3
Control Number 28-AS-20260709081558
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: 07/14/2026
NARRATIVE
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Regarding: Staff did not provide client with comfortable accommodations.

It is alleged that client went a whole winter of 2025 to January 2026 without heat and that staff confiscated client’s space heater and was not given back. It is also alleged that staff would not provide client with extra blanket when requested, making client’s stay in their room uncomfortable because it was freezing.

Staff deny the allegation. Interview with S1 and S2 indicated that the facility did not go without heat the winter of 2025 to January 2026. Staff indicated that they did not confiscate client’s space heater. Staff indicated that Client 1 (C1) was using a space heater in their room which is against house policy due to space heaters being a fire hazard. When staff discussed the concern regarding the use of the space heater in a carpeted room with C1, C1 agreed and voluntarily turned it in to staff for safeguarding. Staff stated that when C1 moved out of the facility, staff returned C1’s space heater without incident. Staff also indicated that C1 had blankets and the proper bedding and when C1 requested extra blankets, they were provided.

LPA observed that the two heater units in the facility are not in use due to the current warm weather; however, S1 provided records which indicated that the primary heating unit has been serviced and tested by a vendor on 7/3/2026. The secondary heating unit will be serviced on 8/15/2026, according to appointment notification provided by S1. LPA inspected the linen closets and cabinets and observed sufficient bedding supplies, including blankets.

Interviews with (7) out of (7) clients revealed that the facility’s temperature is comfortable during the winter and when needed, they are provided with extra blankets. Interview with C1’s roommate (C2) indicated that when they shared the room in the winter of 2025, the temperature was appropriate and the room was not freezing. C2 further stated that C1 did not complain about the room cold or freezing.

****Continues on LIC 9099-C page 2***

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260709081558
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: 07/14/2026
NARRATIVE
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Regarding: Staff did not ensure client had access to water.

It is alleged that the water was disconnected twice in 2025 possibly for non-payment and after bill was paid, the water did not come back until 24 hours later. It is also alleged that water was shut off due to construction that was occurring on the property and that staff did not alert residents.

Staff deny the allegation. Interview with S1 and S2 indicated that water has not been disconnected due to non-payment. Staff stated that the facility pays for their water bill. Staff indicated that city plumbing projects have taken place on the street in which the home is located and therefore, the city had to shut off water services for about three to four hours during each occasion. The city informed the facility a week in advance regarding the sewage repairs and facility staff prepared and informed the clients ahead of time so that they plan to be without water for short periods of time. S1 and S2 further stated that when the facility has clogged toilets or drains, maintenance is called to fix the issues which also has called for temporary water shut off from the main water valve in the building for about an hour or two as repairs are being completed. Clients were also informed ahead of time when the repairs were going to take place so that they could shower and conduct any other personal hygiene tasks ahead of time.

Interviews with (7) out of (7) residents indicated that water has not been disconnected in 2025 nor anytime this 2026 year for more than 24 hours. Clients indicated that water and power is working properly and when plumbing repairs must be done, staff inform clients ahead of time. Clients further indicated that typical temporary water shut off during repairs has lasted about two to three hours but has not caused inconveniences or concerns.

Review of Water and Power statements indicated that payments have been conducted from June 18, 2025, till July 2, 2026, and the facility did not receive water disconnection notices due to non-payment. LPA toured the facility and observed water and power to be available in the facility.

Based on observations, interviews and record review, the allegations could not be corroborated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Carolee Hazzard, Administrator, and a copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Mayra Cota
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3