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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 02/18/2026
Date Signed: 02/18/2026 11:36:23 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/09/2026 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20260209133818
FACILITY NAME:CARROLL'S COMMUNITY CAREFACILITY NUMBER:
370802857
ADMINISTRATOR:ROGELIO HERNANDEZFACILITY TYPE:
735
ADDRESS:523 EMERALD AVENUETELEPHONE:
(619) 442-8893
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:70CENSUS: 68DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Roger Hernandez, AdministratorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Resident evicted without given proper notice.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit for the complaint investigation regarding the above-mentioned allegation. LPA was allowed entry by the Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

On February 9, 2026, the Department received a complaint alleging that the facility refused to allow Resident 1 (R1) to return to the facility after discharge from the hospital. On February 18, 2026, Licensing Program Analyst (LPA) conducted an investigation which included interviews with facility staff, other residents and review of resident records.

Records reviewed indicate that R1 was transported to the hospital on January 29, 2026 for medical treatment. Records reviewed also mention that R1 did not want to be at the facility.

Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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 08-AS-20260209133818
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: CARROLL'S COMMUNITY CARE
FACILITY NUMBER: 370802857
VISIT DATE: 02/18/2026
NARRATIVE
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Interviews conducted revealed that the facility declined to accept R1 back into the facility upon discharge due to facility not being able to meet client's needs, not following house rules, smoking in the room and aggressive with other residents and staff.

The facility previously issued a 30-day eviction notice dated November 21, 2025. However, record review did not reveal documentation demonstrating compliance with statutory termination requirements, including ensuring safe and appropriate relocation or confirming that alternative placement had been secured prior to refusing re-entry. There was no documentation provided indicating that all procedural safeguards required under Health and Safety Code §1569.683(a)(4) were completed prior to termination of residency.

R1 remains at the hospital the facility has agreed to readmit the resident. Deficiency cited under Health and Safety Code §1569.683(a)(4).

Based on evidence obtained, the facility’s refusal to readmit R1 following hospitalization constitutes an unlawful termination of residency. The allegation that the facility unlawfully terminated residency by refusing to readmit R1 from the hospital is SUBSTANTIATED as there is a preponderance of evidence to prove the alleged violation occurred.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator and his signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20260209133818
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CARROLL'S COMMUNITY CARE
FACILITY NUMBER: 370802857
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/18/2026
Section Cited
HSC
1569.683(a)(4)
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In order to evict a resident who remains in the facility after the effective date of the eviction.. must file an unlawful detainer action in superior court and receive a written judgment signed by a judge.... You have the right to contest the eviction in writing and through a hearing."
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The facility administrator will contact the hospital and confirmed that Resident 1 (R1) will return to the facility by February 20, 2026. The facility will ensure R1’s return and continuity of care upon discharge.
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Based on interviews and record review conducted on February 18, 2026, the licensee failed to comply with statutory requirements. This violation resulted in a Risk to the Health and Safety of 1 of 68 residents in care..,continuity of care upon hospital discharge.
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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: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
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