On April 13, 2018 a
Miscellaneous
was filed
involving a dispute between
Serrano, Angelica,
and
Seasons Hospice & Palliative Care Of California, Inc.,
Seasons Hospice & Palliative Care Of California, Llc,
Seasons Hospice & Palliative Care Of California - Oakland, Llc,,
Seasons Hospice & Palliative Care Of California - Orange, Llc,,
Seasons Hospice & Palliative Care Of California - Sacramento, Llc,,
Seasons Hospice & Palliative Care Of California- San Bernardino, Llc,
Seasons Hospice & Palliative Care Of California, San Diego - Llc,
Seasons Hospice & Palliative Care Of Northern California Holdings, Inc.,
Seasons Hospice & Palliative Care Of Northern California, Llc,,
Seasons Hospice & Palliative Care Of San Bernardino, Inc.,
for Wrongful Termination Unlimited
in the District Court of San Bernardino County.
Preview
CM 010
ATTORNEY OR PARTY WITHOUTATTORNEY Name Sfate Bar number and add2ss FOR COURT USE ONLY
David Jafari SBN 207881
JAFARI LAW GROUP
18201 Von Karman Ave 190
Irvine CA 926912
Te ePHONe No 949 362 0100 Fnx No SUPERIOR COURT OF CALIFORNI
ATfORNEY FOR Name All etica Serrano COUNTY pF gq BERNAR INO
SUPERIOR COURT OF CALIFORNIA COUNTY OF Sall B0TI1 lI CI1110
SAN BERNAFIpiIWp p S7RICT
24 I Ie t
1Cd StCeet
STREETADDRESS
7 Tly APR 3 Z u11Q
io
MAILING ADDRESS Z F WeSt T111Cd Street
c rr ANo z P cooe San Bernardino 92415 0210
BR N H NAME San Bernardino Justice Center B1
CASE NAME ED N ST j
CASE NUMBER
CIVIL CASE COVER SHEET Complex Case Designation
Q Unlimited 0 Limited t n f
Amount Amount 0 Counter 0 Joinder
u E
demanded demanded is Filed with first appearance by defendant
exceeds 25 000 25 000 or less Cal Rules of Court rule 3 402 DEPT
Items 1 6 be ow must be comp eted see insfructions on page 2
1 Check one box below for the case type that best describes this case
Auto Tort Contract Provisionally Complex Civil Litigation
Cai Rules of Court rules3 400 3 403
0 Auto 22 Breach of contract warranty 06
0 Uninsured motorist 46 0 Rule 3 740 collections 09 0 AntitrusUTrade regulation 03
OtherPlIPD WD Personal Injury Property 0 Other collections 09 Construction defect 10
DamagelWrongful Death Tort
0 Insurance coverage 18 Mass tort 40
Q Asbestos 04
Q Other contract 37 Securities litigation 28
Product liability 24 Real Property Environmental Toxictort 30
Q Medical malpractice 45
Q Eminent domain Inverse
Q Insurance coverage Gaims arising from the
0 Other PI PD WD 23 condemnation 14 above listed provisionaliy complex case
33 types 41
Wrongful eviction
Non PI PD VVD Other Tort
Other real property 26 Enforcement of Judgment
Business tort unfair business practice 07
Unlawful Detainer Enforcement ofjudgment 20
Civil rights 08
Defamation 13 Commercial 31 Miscellaneous Civil Complaint
Fraud 16 0 Residential 32 Q RICO 27
Intellectual property 19 0 Drugs 38 Other complaint notspec ed above 42
Professional negligence 25 Judicial Review
Miscellaneous Civil Petition
Other non Pl PD WD tort 35 0 Asset forfeiture 05
Q partnership and corporate govemance 21
Em loyment 0 Petition re arbitration award 11
Q Other petition not spec ed above 43
Wrongful termination 36 Q Writ of mandate 02
Q Other employment 15
Q Otherjudicial review 39
2 This case is is not complex under rule 3 400 of the Califomia Rules of Court If the case iscomplex mark the
factors requiring exceptionaf judicial management
a Large number of
separately represented parties d 0 Large number of witnesses
b Extensive motion practice raising difficultor novel e 0 Coordination with related actions pending in one or more courts
issues that will be time consuming to resolve in other counties states or countries or in a federal court
c Substantial amount of documentaly evidence f 0 Substantial postjudgment judicial supervision
3 Remedies sought check all that app y a monetary b 0 nonmonetary declaratory or injunctive relief c Q punitive
4 Number of causes af action specify Eleven
5 This case Q is is not a class action suit
6 If there a e any known related cases file and serve a notice of related case You may use form CM 015
Date 4 13 2018
f
IDavid V Jafari
TYPEDR PRINT NAME SIGNATURE OF BARTY ORATTORNEY FOR PARTY
NOTICE
Plaintiff must file this cover sheet with the firsf paper filed in the action orproceeding except small clairns cases or cases filed
under the Probate Code Family Code or Welfare and Institutions Code Cal Rules of Gourt rule 3 220 FailUre to file may result
in sanctions
File this cover sheet in addition to any cover sheet required by local cou t rule
If this case is complex under rule 3 400 et seq of the Califomia Rules of Court you must serve a copy of this cover sheet on all
other parties to the action or proceeding
Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purposes onl ra etot2
Cal Rulesof Court nites2 30322Q3 400 3 403 3 740
FormAdoptedfor Mandatory Use C V L CASE L
Judidal Council ofCalifomia
VER SHEE r Cal StanGards of Jutlicial Administration stC 3 10
CM 010 Rev July1 20D7 wwwcour6nfo ca gov
CM 010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers If you are filing a first paper for example a complaint in a civil case you must
complete and file along with your first paper the Civil Case Cover Sheet contained on page 1 This information will be used to compile
statistics about the types and numbers of cases filed You must complete items 1 through 6 on the sheet In item 1 you must check
one box for the case type that best describes the case If the case fits both a general and a more specific type of case listed in item 1
check the more specific one If the case has multiple causes of action check the box that best indicates the primary cause of action
To assist you in completing the sheet examples of the cases that belong under each case type in item 1 are provided below A cover
sheet must be filed only with your initial paper Failure to file a cover sheet with the first paper filed in a civil case may subject a party
its counsel or both to sanctions under rules 2 30 and 3 220 of the California Rules of Court
To Parties in Rule 3 740 Collections Cases A collections case under rule 3 740 is defined as an action for recovery of money
owed in a sum stated to be certain that is not more than 25 000 exclusive of interest and attorney s fees arising from a transaction in
which property services or money was acquired on credit A collections case does not include an action seeking the following 1 tort
damages 2 punitive damages 3 recovery of real property 4 recovery of personal property or 5 a prejudgment writ of
attachment The identification of a case as a rule 3 740 collections case on this form means that it will be exempt from the general
time for service requirements and case management rules unless a defendant files a responsive pleading A rule 3 740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3 740
To Parties in Complex Cases In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the
case is complex If a plaintiff believes the case is complex under rule 3 400 of the Galifornia Rules of Court this must be indicated by
completing the appropriate boxes in items 1 and 2 If a plaintiff designates a case as complex the cover sheet must be served with the
complaint on all parties to the action A defendant may file and serve no later than the time of its first appearance a joinder in the
plaintiffs designation a counter designation that the case is not complex or if the plaintiff has made no designation a designation that
the case is complex
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally Complex Civil Litigation Cai
Auto 22 Breach of Contract Warranty 06 Rules of CouR Rules 3 400 3 403
Personal Injury Property
Breach of RentaULease AntitrustlTrade Regulation 03
Damage Wrongful Death
Contract not unlawfu detainer Construction Defect 10
Uninsured Motorist 46 if the
or wrongfu eviction Claims Involving Mass Tort 40
case invo ves an uninsured
ContracUWarranty Breach Seller Securities Litigation 28
motonst c aim subject to
Plaintiff fraud ornegligence Environmentallfoxic Tort 30
not
arbitration check this item
Negligent Breach of ContracU Insurance Coverage Claims
instead ofAuto
Other PI PD WD Personal Warranty arising from provisiona y complex
injury
Other Breach of ContracUWarranty case type isted above 41
Property DamagelWrongful Death
Collections e
moneyg owed open Enforcement of Judgment
Tort
600k accounts 09 Enforcement of Judgment 20
Asbestos 04
Collection Gas SellerPlaintiff Abstract of Judgment Out of
Asbestos Property Damage
Other Promissory Note Collections County
Asbestos Personal Injury
Case Confession of iludgment non
Wrongful Death
Insurance Coverage not provisionalty domestic relations
Product Liabiliry not asbestos or
complex 18 Sister State JudgmenY
toxic nvironmenta 24
Medical Malpractice 45
Auto Subrogation Administrative Agency Award
Other Coverage notunpaid taxes
Medical Malpractice
Physicians 8 Surgeons Other Contract 37 PetitioNCertification of Entry of
Judgment on Unpaid Taxes
Other Professional Health Care Contractual Fraud
Other Enforcement of Judgment
Malpractice Other Contract Dispute
Gase
Other PI PD WD 23 Real Property
Miscellaneous Civil Comptaint
Rremises Liability e g slip Eminent Domainllnverse
Condemnation 14 RICO 27
and fall
Other Complaint notspecified
Intentional Bodily Injury PD WD i Wrongful Eviction 33
a6ove 42
e g assault vandalism Other Real Property e g quiet title 26
DeGaratory Relief Only
Intentional Infliction of Writ of Possession of Real Property
Injunctive Relief Only non
Emotional Distress Mortgage Foreclosure
harassment
Negligent infliction of Quiei Title
Mechanics Lien
Emotionai Distress Other RealProperty nofeminent
Othei Commercial Complaint
Othe PI PD WD domain land ord tenant or Case non tort non omplex
Non PI PD WD Other Tort foieclosure
Other Civil Complaint
Business TorUUnfair Business Unlawful Detainer
non tort non comp ex
Practice 07 Commercial 31
Miscellaneous Civil Petition
Civil Rights e g discrimination ResidentiaL 32 PaRnership and Corporate
false arrest not civil Drugs 38 if the case involves il egal Goyemance 21
harassment 08j drugs check thrs item otherwise Othe Petition not specified
Defamation e g slander libel report as Commercia or Residential a6ove 43
13 JudicialReview Civil Harassment
Fraud 16 Asset Forfeiture 05 Workplace Violence
Intellectual Property 19 Fetition Re Arbitration Award 11
EIdeNDependent Adult
Professional Negligence 25 Writ of Mandate 02 Abuse
Legal Malpractice Writ Administrative Mandamus
Election Contest
Other Professional Malpractice Writ Mandamus on Limited Couit
Petition for Name Change
not medica ordegal Gase Matter Petition for Relief From Late
Qther Non PI PD WD Tort 35 Writ0therLimited Court Case Claim
Employment Review Other Civif Petition
WrongfW Termination 36
Other Judieial Review 39
Other Employment 15 Review of Heatth OfficerOrder
Notice of Appeal Labor
Commissioner Appeals
Pa9ezotz
cnn oio Re ury i 2oo
CIVIL CASE COVER SHEET
Document Filed Date
April 13, 2018
Case Filing Date
April 13, 2018
Category
Wrongful Termination Unlimited
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CM 010 ATTORNEY OR PARTY WITHOUTATTORNEY Name Sfate Bar number and add2ss FOR COURT USE ONLY David Jafari SBN 207881 JAFARI LAW GROUP 18201 Von Karman Ave 190 Irvine CA 926912 Te ePHONe No 949 362 0100 Fnx No SUPERIOR COURT OF CALIFORNI ATfORNEY FOR Name All etica Serrano COUNTY pF gq BERNAR INO SUPERIOR COURT OF CALIFORNIA COUNTY OF Sall B0TI1 lI CI1110 SAN BERNAFIpiIWp p S7RICT 24 I Ie t 1Cd StCeet STREETADDRESS 7 Tly APR 3 Z u11Q io MAILING ADDRESS Z F WeSt T111Cd Street c rr ANo z P cooe San Bernardino 92415 0210 BR N H NAME San Bernardino Justice Center B1 CASE NAME ED N ST j CASE NUMBER CIVIL CASE COVER SHEET Complex Case Designation Q Unlimited 0 Limited t n f Amount Amount 0 Counter 0 Joinder u E demanded demanded is Filed with first appearance by defendant exceeds 25 000 25 000 or less Cal Rules of Court rule 3 402 DEPT Items 1 6 be ow must be comp eted see insfructions on page 2 1 Check one box below for the case type that best describes this case Auto Tort Contract Provisionally Complex Civil Litigation Cai Rules of Court rules3 400 3 403 0 Auto 22 Breach of contract warranty 06 0 Uninsured motorist 46 0 Rule 3 740 collections 09 0 AntitrusUTrade regulation 03 OtherPlIPD WD Personal Injury Property 0 Other collections 09 Construction defect 10 DamagelWrongful Death Tort 0 Insurance coverage 18 Mass tort 40 Q Asbestos 04 Q Other contract 37 Securities litigation 28 Product liability 24 Real Property Environmental Toxictort 30 Q Medical malpractice 45 Q Eminent domain Inverse Q Insurance coverage Gaims arising from the 0 Other PI PD WD 23 condemnation 14 above listed provisionaliy complex case 33 types 41 Wrongful eviction Non PI PD VVD Other Tort Other real property 26 Enforcement of Judgment Business tort unfair business practice 07 Unlawful Detainer Enforcement ofjudgment 20 Civil rights 08 Defamation 13 Commercial 31 Miscellaneous Civil Complaint Fraud 16 0 Residential 32 Q RICO 27 Intellectual property 19 0 Drugs 38 Other complaint notspec ed above 42 Professional negligence 25 Judicial Review Miscellaneous Civil Petition Other non Pl PD WD tort 35 0 Asset forfeiture 05 Q partnership and corporate govemance 21 Em loyment 0 Petition re arbitration award 11 Q Other petition not spec ed above 43 Wrongful termination 36 Q Writ of mandate 02 Q Other employment 15 Q Otherjudicial review 39 2 This case is is not complex under rule 3 400 of the Califomia Rules of Court If the case iscomplex mark the factors requiring exceptionaf judicial management a Large number of separately represented parties d 0 Large number of witnesses b Extensive motion practice raising difficultor novel e 0 Coordination with related actions pending in one or more courts issues that will be time consuming to resolve in other counties states or countries or in a federal court c Substantial amount of documentaly evidence f 0 Substantial postjudgment judicial supervision 3 Remedies sought check all that app y a monetary b 0 nonmonetary declaratory or injunctive relief c Q punitive 4 Number of causes af action specify Eleven 5 This case Q is is not a class action suit 6 If there a e any known related cases file and serve a notice of related case You may use form CM 015 Date 4 13 2018 f IDavid V Jafari TYPEDR PRINT NAME SIGNATURE OF BARTY ORATTORNEY FOR PARTY NOTICE Plaintiff must file this cover sheet with the firsf paper filed in the action orproceeding except small clairns cases or cases filed under the Probate Code Family Code or Welfare and Institutions Code Cal Rules of Gourt rule 3 220 FailUre to file may result in sanctions File this cover sheet in addition to any cover sheet required by local cou t rule If this case is complex under rule 3 400 et seq of the Califomia Rules of Court you must serve a copy of this cover sheet on all other parties to the action or proceeding Unless this is a collections case under rule 3 740 or a complex case this cover sheet will be used for statistical purposes onl ra etot2 Cal Rulesof Court nites2 30322Q3 400 3 403 3 740 FormAdoptedfor Mandatory Use C V L CASE L Judidal Council ofCalifomia VER SHEE r Cal StanGards of Jutlicial Administration stC 3 10 CM 010 Rev July1 20D7 wwwcour6nfo ca gov CM 010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers If you are filing a first paper for example a complaint in a civil case you must complete and file along with your first paper the Civil Case Cover Sheet contained on page 1 This information will be used to compile statistics about the types and numbers of cases filed You must complete items 1 through 6 on the sheet In item 1 you must check one box for the case type that best describes the case If the case fits both a general and a more specific type of case listed in item 1 check the more specific one If the case has multiple causes of action check the box that best indicates the primary cause of action To assist you in completing the sheet examples of the cases that belong under each case type in item 1 are provided below A cover sheet must be filed only with your initial paper Failure to file a cover sheet with the first paper filed in a civil case may subject a party its counsel or both to sanctions under rules 2 30 and 3 220 of the California Rules of Court To Parties in Rule 3 740 Collections Cases A collections case under rule 3 740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than 25 000 exclusive of interest and attorney s fees arising from a transaction in which property services or money was acquired on credit A collections case does not include an action seeking the following 1 tort damages 2 punitive damages 3 recovery of real property 4 recovery of personal property or 5 a prejudgment writ of attachment The identification of a case as a rule 3 740 collections case on this form means that it will be exempt from the general time for service requirements and case management rules unless a defendant files a responsive pleading A rule 3 740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3 740 To Parties in Complex Cases In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the case is complex If a plaintiff believes the case is complex under rule 3 400 of the Galifornia Rules of Court this must be indicated by completing the appropriate boxes in items 1 and 2 If a plaintiff designates a case as complex the cover sheet must be served with the complaint on all parties to the action A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs designation a counter designation that the case is not complex or if the plaintiff has made no designation a designation that the case is complex CASE TYPES AND EXAMPLES Auto Tort Contract Provisionally Complex Civil Litigation Cai Auto 22 Breach of Contract Warranty 06 Rules of CouR Rules 3 400 3 403 Personal Injury Property Breach of RentaULease AntitrustlTrade Regulation 03 Damage Wrongful Death Contract not unlawfu detainer Construction Defect 10 Uninsured Motorist 46 if the or wrongfu eviction Claims Involving Mass Tort 40 case invo ves an uninsured ContracUWarranty Breach Seller Securities Litigation 28 motonst c aim subject to Plaintiff fraud ornegligence Environmentallfoxic Tort 30 not arbitration check this item Negligent Breach of ContracU Insurance Coverage Claims instead ofAuto Other PI PD WD Personal Warranty arising from provisiona y complex injury Other Breach of ContracUWarranty case type isted above 41 Property DamagelWrongful Death Collections e moneyg owed open Enforcement of Judgment Tort 600k accounts 09 Enforcement of Judgment 20 Asbestos 04 Collection Gas SellerPlaintiff Abstract of Judgment Out of Asbestos Property Damage Other Promissory Note Collections County Asbestos Personal Injury Case Confession of iludgment non Wrongful Death Insurance Coverage not provisionalty domestic relations Product Liabiliry not asbestos or complex 18 Sister State JudgmenY toxic nvironmenta 24 Medical Malpractice 45 Auto Subrogation Administrative Agency Award Other Coverage notunpaid taxes Medical Malpractice Physicians 8 Surgeons Other Contract 37 PetitioNCertification of Entry of Judgment on Unpaid Taxes Other Professional Health Care Contractual Fraud Other Enforcement of Judgment Malpractice Other Contract Dispute Gase Other PI PD WD 23 Real Property Miscellaneous Civil Comptaint Rremises Liability e g slip Eminent Domainllnverse Condemnation 14 RICO 27 and fall Other Complaint notspecified Intentional Bodily Injury PD WD i Wrongful Eviction 33 a6ove 42 e g assault vandalism Other Real Property e g quiet title 26 DeGaratory Relief Only Intentional Infliction of Writ of Possession of Real Property Injunctive Relief Only non Emotional Distress Mortgage Foreclosure harassment Negligent infliction of Quiei Title Mechanics Lien Emotionai Distress Other RealProperty nofeminent Othei Commercial Complaint Othe PI PD WD domain land ord tenant or Case non tort non omplex Non PI PD WD Other Tort foieclosure Other Civil Complaint Business TorUUnfair Business Unlawful Detainer non tort non comp ex Practice 07 Commercial 31 Miscellaneous Civil Petition Civil Rights e g discrimination ResidentiaL 32 PaRnership and Corporate false arrest not civil Drugs 38 if the case involves il egal Goyemance 21 harassment 08j drugs check thrs item otherwise Othe Petition not specified Defamation e g slander libel report as Commercia or Residential a6ove 43 13 JudicialReview Civil Harassment Fraud 16 Asset Forfeiture 05 Workplace Violence Intellectual Property 19 Fetition Re Arbitration Award 11 EIdeNDependent Adult Professional Negligence 25 Writ of Mandate 02 Abuse Legal Malpractice Writ Administrative Mandamus Election Contest Other Professional Malpractice Writ Mandamus on Limited Couit Petition for Name Change not medica ordegal Gase Matter Petition for Relief From Late Qther Non PI PD WD Tort 35 Writ0therLimited Court Case Claim Employment Review Other Civif Petition WrongfW Termination 36 Other Judieial Review 39 Other Employment 15 Review of Heatth OfficerOrder Notice of Appeal Labor Commissioner Appeals Pa9ezotz cnn oio Re ury i 2oo CIVIL CASE COVER SHEET