370804788-6-16-2025-08-AS-APAO-DJDMP7-20250708094641

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370804788
Report Date: 06/16/2025
Date Signed: 06/16/2025 10:50:30 PM

Unsubstantiated

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
01/27/2025 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20250127120814

FACILITY NAME:	CASA EL CAJON		FACILITY NUMBER:	370804788
ADMINISTRATOR:	REBECCA RAYO		FACILITY TYPE:	740
ADDRESS:	306 SHADY LANE		TELEPHONE:	(619) 440-1335
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	99	CENSUS: 89	DATE:	06/16/2025
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Medical Receptionist Eveline Denton		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Facility is in disrepair.
Illegal eviction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry after identifying herself to Medical Receptionist Eveline Denton. LPA discussed the purpose of the visit, and the basic elements of the allegations mentioned above with MR Denton.

The Department's investigation included resident, staff, and outside source interviews, a facility, and a resident records reviews.

It was alleged the facility was in disrepair. More specifically, it was alleged that water from recent rain falls had soak up through the foundation, and through the tile flooring and would create puddles in Resident's1 (R1's) room. A review of R1’s records revealed they were admitted to the facility on May 17, 2019, with a primary diagnosis of anxiety, depression, osteoarthritis, hypertension, and high cholesterol. R1’s records also revealed they were independent and only required medication management, and they were happy and easy going.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250127120814

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: 06/16/2025

NARRATIVE

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An interview conducted with Staff1 (S1), the facility maintenance, revealed they never heard of water being soaked through foundation and tile flooring and never received a work order for this matter. S1 revealed a crack in the wall adjoining to R1’s room. Additionally, S1 accompanied LPA on a facility tour, including an inspection of R1’s room and LPA observed no issues. An interview with facility Staff2 (S2), the Administrator, corroborated they had never received a complaint regarding puddling in rooms after rain. Interviews with residents in care revealed no issues with the facility’s physical plant.

It was also alleged facility staff served a resident an unlawful eviction. An interview with Outside Source1 (OS1) revealed R1 was very unhappy, claimed staff were rude and R1 would complain about everything and wanted to move out. OS1 and R1 worked together to find adequate placement for R1 as they would continuously express, they wanted to move out, and would have outbursts of behaviors, disrupting other residents in care. S2 revealed, also corroborated by OS1, that R1 was delinquent on their monthly payments. Interviews conducted with residents in care revealed they had no issues with facility staff or the facility in general.

Based on interviews Due to lack of corroborating evidence, the finding regarding the above allegations were established to be unsubstantiated. This finding means there was not a preponderance of evidence to prove that the alleged violations occurred.

LPA conducted an exit interview with MR Denton and was provided a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) the conclusion of the visit and signature below acknowledges receipt of the documents

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025

LIC9099 (FAS) - (06/04)

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