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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881424
Report Date: 03/23/2026
Date Signed: 03/23/2026 02:50:47 PM

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
12/18/2025 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20251218164759
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:
03/23/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Administrator Nikkita MundhadaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff handled resident in a rough manner
INVESTIGATION FINDINGS:
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On 3/23/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of delivering investigative finding into the allegation listed on the complaint report. LPA Flores met with Administrator Nikkita Mundhada and explained the purpose of the visit.

Information received alleged Staff #1 (S1) handled Resident #1 (R1) in a rough manner. Interview with (3) three staff report that R1 was very difficult to work with often refusing care assistance. Staff report that R1 was temporarily restricted to a wheelchair and went against physician orders by attempting to ambulate independently. Staff recall an interaction where R1 was sliding off of the bed and S1 assisted R1 by placing R1’s legs back onto the bed. Staff report that R1’s responsible persons were present to the incident and can account that S1 did not handle R1 in a rough manner.

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

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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-20251218164759
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: 03/23/2026
NARRATIVE
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(Continuation from LIC9099)

Attempts to interview R1 and R1’s responsible persons were unsuccessful. Interviews with (5) five out of (5) five residents reported that staff have not handled them in a rough manner.

Therefore, the allegations staff handled resident in a rough manner is deemed 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.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2