Senior Care Records.

Facility Evaluation Report

Pasadena Guest Home, Pasadena05/22/2026Licence 198602896

Capacity30
Census25
Date signed05/22/2026 03:29:25 PM
Name of licensing program analystMayra Cota
Name of licensing program managerWei Siew Ho
The inspector’s account

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced Case Management Visit – Plan of Correction (POC) to follow up on deficiencies cited during annual visit conducted on 4/23/2026. LPA met with Carolee Hazzard, Administrator, and the reason for the visit was explained.

During today’s visits, LPA assessed Civil Penalties for FAILURE TO CORRECT for the following:

HSC Section 1565(a): Other Provision. Licensee does not have an Emergency and Disaster Plan (LIC 610-D) in place. Civil Penalty has been assessed for $700.

CCR Section 80087(a): Building and Grounds. Licensee did not conduct clean/removal of all grease and mildew on the stove, walls, and hood vent. Civil Penalty has been assessed for $250.

The following deficiency was corrected during today’s visit:

CCR Section 80075(f): Health-Related Services. Licensee provided LPA proof of First Aid/CPR training appointment for (6) out of (6) staff scheduled to take place on 5/29/2026.

Exit interview was conducted with Carolee Hazzard, Administrator, and copies of the report, POC letter, civil penalty forms and Appeal Rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction