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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881424
Report Date: 08/25/2025
Date Signed: 08/26/2025 08:55:52 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2025 and conducted by Evaluator Valerie Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250818135517
FACILITY NAME:ESCONDIDO ELDER CAREFACILITY NUMBER:
371881424
ADMINISTRATOR:RATHI, GAURAVFACILITY TYPE:
740
ADDRESS:135 S TULIP STTELEPHONE:
(619) 791-5495
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:6CENSUS: 5DATE:
08/25/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Nikita MundhadaTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Staff did not treat resident with dignity and respect
INVESTIGATION FINDINGS:
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On 8/25/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility to investigate the allegation listed above. LPA Flores introduced herself to House Manager, Alexa Cardenas, and explained the purpose of the visit. Alexa granted LPA Flores entry, and a tour of the facility was conducted. LPA Flores did not observe any health and safety concerns.

On 8/18/2025, Community Care Licensing (CCL) received a complaint alleging staff did not treat residents with dignity and respected. Information received alleged Resident #1 (R1) was called inappropriate names by Staff #1 (S1). During the time of visit, there were (2) two staff, (5) five residents, and the Administrator present. LPA Flores conducted record review, obtained copies of pertinent documents, interviewed staff and residents. Interviews conducted could not corroborate that the allegation occurred. R1 did not want to confirm nor deny the allegation and wished to retract their statement they reported to the reporting party.

(Continue to LIC9099C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
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 2
Control Number 18-AS-20250818135517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ESCONDIDO ELDER CARE
FACILITY NUMBER: 371881424
VISIT DATE: 08/25/2025
NARRATIVE
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(Continuation from LIC9099)

During the investigation, LPA Flores did not find evidence to corroborate the allegations.

Based on the evidence, the allegations mentioned above are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time.

An exit interview was conducted where this report was discussed and provided to Administrator, Nikita Mundhada.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2