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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370804788
Report Date: 11/25/2024
Date Signed: 11/25/2024 06:01:12 PM

Unfounded


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
08/06/2021 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20210806114056
FACILITY NAME:CASA EL CAJONFACILITY NUMBER:
370804788
ADMINISTRATOR:REBECCA RAYOFACILITY TYPE:
740
ADDRESS:306 SHADY LANETELEPHONE:
(619) 440-1335
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:99CENSUS: 94DATE:
11/25/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Aministrator Rebecca RayoTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Licensee did not safeguard resident's money.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Correia conducted an unannounced follow-up visit to a complaint investigation and delivered the finding to the above-mentioned allegation. LPA Correia identified herself, was granted entry, and explained the purpose of the visit to Administrator Rayo.

The Department’s investigation consisted of staff, resident, and outside source interviews. The investigation also included facility, resident, and outside source records reviews.

It was alleged that facility staff did not safeguard Resident’s (R1) cash resources. A resident records review revealed R1 was admitted to the facility on July 13, 2020, with a primary diagnosis of Schizophrenia. A review of R1’s resident records dated the day of admission revealed R1 was able to manage their own cash resources in small amounts, an additional records review dated 2 days later, July 15, 2020, revealed R1 was not able to manage their own cash resources. However, a review of facility records revealed per contractual agreement that the facility does not safeguard cash resources.

[Continued on LIC 9099C]
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
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 2
Control Number 08-AS-20210806114056
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: CASA EL CAJON
FACILITY NUMBER: 370804788
VISIT DATE: 11/25/2024
NARRATIVE
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[Continuation from LIC 9099]

An initial interview conducted with R1 revealed they believed their roommate had stolen their money, subsequently a follow up interview with R1 disclosed they had lent money to several other residents and was never paid back. R1 also disclosed they had donated money to attending organizations.

Interviews conducted with staff and other residents revealed no knowledge or experience of thefts that occurred while working or residing at the facility. An interview conducted with the Administrator confirmed the facility does not safeguard cash resources for any of the residents. An interview conducted with an Outside Source (OS1) revealed no knowledge of the alleged theft, and an additional review of Outside Source records (OS2) revealed there were no leads to pursue an investigation to the allegation (see LIC 811 for confidential names).

LPA conducted an exit interview with Administrator Rayo who was notified that a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) will be provided at the conclusion of the visit.

Based on the information collected during the investigation CCL has deemed the complaint to be unfounded meaning that the allegation was false and/or is without a reasonable basis. Therefore, the Department has dismissed the complaint.
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC9099 (FAS) - (06/04)
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