370804788-7-23-2026-08-AS-APAO-DZ973B-20261026211801

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370804788
Report Date: 07/22/2026
Date Signed: 07/23/2026 05:39:19 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
07/15/2026 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20260715201924

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: 87	DATE:	07/22/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Evelyn Denton		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff do not ensure the resident is taking medications as prescribed.
Resident sustained weight loss due to staff neglect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit and delivered findings. LPA Silveira explained the purpose of the visit and was granted entry into the facility by Administrator Eveline Denton.

The Department’s investigation consisted of interviews and a records review. On July 15, 2026, it was alleged that facility staff were not ensuring that Resident #1 (R1) was taking their medications and that R1 was losing weight due to staff neglect. A review of R1’s medical report, dated February 20, 2024, revealed that R1 suffers from schiz-affective disorder, COPD and GERD. R1 is independent with activities of daily living and is able to leave the facility unassisted. A Department interview with R1’s Primary Care Physician (PCP), who has know R1 for years, revealed that due to psychiatric issues, R1 has a history of not wanting to take their medications. The PCP conducted a facility visit to see R1 on July 22, 20226 and encouraged them to take their medications. (CONTINUED ON NEXT PAGE, LIC 809-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2026

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-20260715201924

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: 07/22/2026

NARRATIVE

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(CONTINUED FROM PAGE 1, LIC 809)
The Department also interviewed an Outside Source (OS1) that advocates for R1. The interview revealed that R1 has consistently refused to take their medications and OS1 is continuously reaching out and encouraging them to take their medications. Finally, interviews with two staff members and the Administrators revealed that they continuously encourage R1 to take their medications and try different strategies to encourage R1 to take their medications. There was not enough evidence to corroborate this allegation.

It was also alleged that R1 sustained weight loss due to staff neglect. The Department interview with R1’s PCP revealed that, regarding the weight of R1, R1 fluctuates with weight due to their COPD issues and cigarette smoking. The PCP stated that R1’s weight is within a normal range and they were last weighed on June 30, 2026. The PCP also stated that the facility goes “above and beyond” to reach out to the resident’s doctors when there are resident issues that they are concerned about. Finally, interviews with OS1, staff and the facility Administrator also revealed that they did not observe any substantial weight loss issues with R1 that were beyond normal. There was not enough evidence to corroborate this allegation.

The preponderance of evidence standard has not been met, therefore, the above-mentioned allegations are unsubstantiated. No citations were issued during today’s visit. An exit interview was conducted with Eveline, and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 03/22) were provided to the Eveline via email. Signature below confirms receipt of all documents.

**NOTE: LPA left the facility for a lunch break and to write this report. LPA returned to the facility to complete the complaint investigation and to deliver findings.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2026

LIC9099 (FAS) - (06/04)

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