370804865-8-8-2023-08-AS-DPOL-CV7TRV-20230830145809

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370804865
Report Date: 08/08/2023
Date Signed: 08/08/2023 12:44:07 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
06/28/2023 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20230628113650

FACILITY NAME:	CARROLLS RESIDENTIAL CARE		FACILITY NUMBER:	370804865
ADMINISTRATOR:	BRYAN MEYERS		FACILITY TYPE:	740
ADDRESS:	655 S MOLLISON		TELEPHONE:	(619) 444-3181
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	0	CENSUS: 122	DATE:	08/08/2023
		UNANNOUNCED	TIME BEGAN:	11:14 AM
MET WITH:	Sarita Mendoza, Assistant Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Licensee did not maintain control of property.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Renita Hall conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself and was allowed into the facility by the Assistant Director Sarita Mendoza.

The Department’s investigation consisted of a review of records. It was alleged that the Licensee did not maintain control of the property.

On July 7, 2023 an Interview conducted with administrator revealed that the new owners had a pending licensee with the Department and terms of the agreement was with the previous owner. Review of records showed that there was an interim sublease agreement with Tharon San Diego LLC who are the sublandlord and the new owner of Carroll's Residential Care which included the land the building is on.

Continued on 9099C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Renita Hall	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023

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-20230628113650

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: CARROLLS RESIDENTIAL CARE	FACILITY NUMBER: 370804865
	VISIT DATE: 08/08/2023

NARRATIVE

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"Until the License is issued to Sublandlord by DSS, Sublandlord desires for Subtenant to remain in legal possession of the Facility so that Subtenant’s license to operate the Facility will remain in effect. The Sublandlord and Subtenant Interim Management Agreement pursuant to which Sublandlord shall manage the Facility under Subtenant’s existing license during the term of the Management Agreement, which shall run concurrently with the term of this Sublease." All utilities, taxes, insurance, repairs, maintenance and alterations to be paid by Sublandlord.

This Department has investigated the allegation that Licensee did not maintain control of property has found that the preponderance of the evidence was not met; therefore, the allegation is deemed Unfounded.

An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) were provided to Sarita Mendoza, Assistant Director. Her signature on this form confirms receipt of the documents.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Renita Hall	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023

LIC9099 (FAS) - (06/04)

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