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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370808597
Report Date: 10/23/2025
Date Signed: 10/23/2025 04:38:18 PM

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
10/16/2025 and conducted by Evaluator Carmen Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20251016114333
FACILITY NAME:STONE MOUNTAIN RANCHFACILITY NUMBER:
370808597
ADMINISTRATOR:ROBINSON, DEZIFACILITY TYPE:
735
ADDRESS:16585 HIGHLAND VALLEY ROADTELEPHONE:
(760) 789-4600
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:15CENSUS: 12DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Dezi Robinson, LicenseeTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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- Licensee is not properly addressing issues with rodents in the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to open a complaint investigation. While at the facility, LPA investigated and delivered findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by Cyrus Boone, case manager. LPA met with, stated the purpose of the visit and reviewed the findings of the complaint with Elena O'Connor, Program Director, and case manager Boone.

The Department’s investigation consisted of interviews with staff, record review, and LPA observations. On October 16, 2025, it was said that the licensee was not properly addressing the issues with rodents in the facility.

On October 23, 2025, LPA Lopez arrived at the facility. The facility is located in an isolated area where there is much wildlife within the immediate area of the facility. LPA toured the facility and while on tour spoke with staff and program director. According to staff and program director they clean the facility daily to maintain the facility clean.

(Continuation on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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-20251016114333
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: STONE MOUNTAIN RANCH
FACILITY NUMBER: 370808597
VISIT DATE: 10/23/2025
NARRATIVE
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(Continuation of LIC9099)

LPA toured the laundry area and a bathroom in the laundry area which were maintained cleaned and organized. LPA toured the kitchen area and the pantry area located in the kitchen. The kitchen was clean and sanitary. All items were stored and organized. There was an ant trap in the kitchen area, but the area was clean, and LPA did not observe ants around the area. The following area toured was the pantry which is an older refrigerator model that was converted into the pantry. LPA toured the inside of the pantry area which is where there were vermin droppings located on the floor, where traps were placed. The food was located on the shelving area and none on the floor. LPA observed that the pantry had canned food items on the shelves and a refrigerator inside. According to the program director, the pantry had an old venting system which was removed which may have been where the vermin would be going through but was uncertain. Program Director did take LPA to the exterior of the facility where they demonstrated to LPA where their maintenance personnel had filled the holes. LPA toured the dining and living room area and the areas were clean and sanitary with no vermin or droppings. LPA continued to tour the hallways and a client’s bedroom and shared bathroom. LPA did not see any vermin, rodents or droppings on the floor within these elongated hallways. Program Director informed LPA that their maintenance personnel are actively placing traps internally and externally throughout the facility to maintain control of vermin. Although they attempt to actively place traps inside and outside and actively clean at least twice daily (am and pm shifts) they do tend to have these types of issues and are unsure where they are coming through. Program Director provided LPA with the daily facility scheduled tasks and demonstrated that the staff are actively cleaning the facility throughout the day. According to the schedule, the AM shift are actively cleaning from 8:30 AM through after lunch with “cleaning routines.” The PM shift is tasked to conduct “cleaning routine” from 3PM – 4PM, and again from 6:30 PM through 8:30 PM for dinner cleaning.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff interviews, record reviewed, and LPA observations there is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D page of this report.

The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Program Director Elena O'Conner, and Cyrus Boone, Case Manager. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Program Director O'Conner at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20251016114333
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: STONE MOUNTAIN RANCH
FACILITY NUMBER: 370808597
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2025
Section Cited
CCR
87555(b)(27)
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87555 (b)(27) General Food Storage Requirements: All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects… this requirement was not met as evidence by:
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The facility will be implementing the bigger mice traps with enclosures for thesafety of staff and residents and send LPA photos by POC due date, 11/14/2025.
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Based on interviews and observations, although staff attempted to actively maintain rodents and vermin out of the facility, there were droppings located in the pantry area of the facility which posed a potential health risk to XX of XX clients in care.
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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: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
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