372002856-2-18-2026-18-AS-RORN-DRSR2J-20260302113826

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372002856
Report Date: 02/18/2026
Date Signed: 02/18/2026 02:33:52 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
07/13/2023 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20230713131310

FACILITY NAME:	SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE		FACILITY NUMBER:	372002856
ADMINISTRATOR:	FLORETTA CRENSHAW		FACILITY TYPE:	735
ADDRESS:	2033 ORO VERDE ROAD		TELEPHONE:	(760) 480-7468
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	8	CENSUS: 6	DATE:	02/18/2026
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Brianda Munoz		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff leave clients in soiled diapers for an extended period of time.
Staff sleep while on shift.

INVESTIGATION FINDINGS:

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On 02/18/2026 Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced visit to the facility to initiate a complaint investigation into the allegations above. LPA met with the Administrators Brianda Munoz and Assistant Administrator Raul Trrjo, and the purpose of the visit was explained.

The investigation consisted of the following: On 02/18/2026, LPA obtained the staff and clients roster (dated 01/02/2026), The LPA reviewed and obtained Physician Report Preplacement Appraisal Information, Appraisal/Needs and Services Plan for four clients #1-4 (C1-C4). LPA obtained one Unusual Incident/Injury Report for client #4 (C4). LPA obtained staff training for fall response and safe transfer training. The LPA interviewed four staff (S1-S4). LPA also interviewed the Administrator (A1) Brianda Munoz.

Report continued on LIC9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

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 18-AS-20230713131310

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: SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE	FACILITY NUMBER: 372002856
	VISIT DATE: 02/18/2026

NARRATIVE

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Allegation #1: Staff leave clients in soiled diapers for an extended period of time.

The complaint alleged that staff do not change clients’ diapers during their shift and leave diaper changes for the morning staff. On 02/18/2026, LPA Richard interviewed the Administrator (A1), who denied the allegation. A1 stated that staff receive sufficient training, structure, guidance, and support to assist clients during the night shift, including assistance with personal care needs.

On 02/18/2026, LPA interviewed four staff members (S1–S4). All denied the allegation and stated that the facility has only one client (C4) who wears diapers and requires assistance with changing every two hours or as needed. Staff reported that diaper changes are completed according to the client’s needs and care plan. Additionally, LPA interviewed four clients (C1–C4), all of whom denied the allegation and stated that staff provide assistance when needed. C4 specifically stated that staff change their diapers regularly throughout the day.

On 02/18/2026, LPA conducted a record review of staff training documentation, as well as the AM and PM shift task lists. Documentation indicated that staff are responsible for complete regular diaper changes as required. LPA also observed the facility to be clean and orderly. Clients were observed playing games and interacting appropriately with staff.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

Report continued on LIC9099C

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230713131310

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: SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE	FACILITY NUMBER: 372002856
	VISIT DATE: 02/18/2026

NARRATIVE

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Allegation #2: Staff sleep while on shift.

The complaint alleged that nighttime staff sleep while on duty. On 02/18/2026, LPA interviewed the Administrator (A1), who denied the allegation. A1 stated that any staff member found sleeping while on duty would be terminated. A1 further stated that staff follow a structured to-do list during the night shift and are responsible for supervising clients throughout the night, leaving no time for sleeping.

On 02/18/2026, LPA interviewed four staff members (S1–S4), all of whom denied ever sleeping while on duty. Staff stated that they are required to conduct routine checks to ensure clients are comfortable and sleep safely throughout the night. Additionally, LPA interviewed four clients (C1–C4), all of whom denied experiencing any lack of assistance during nighttime hours and stated that staff provide help when needed.

On 02/18/2026, LPA conducted a review of the facility’s PM shift to-do list. Documentation indicated that from 4:00 PM to 10:00 PM, staff are assigned specific duties and responsibilities, demonstrating an active and structured evening schedule.

No deficiencies were cited

An exit interview was conducted, and a copy of this report was provided to the Administrator Brianda Munoz.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026

LIC9099 (FAS) - (06/04)

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