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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372004506
Report Date: 07/03/2026
Date Signed: 07/03/2026 10:10:22 AM

Unsubstantiated


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
05/27/2022 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20220527143642
FACILITY NAME:CARPEL BOARD & CARE FACILITY #2FACILITY NUMBER:
372004506
ADMINISTRATOR:CARMONA, LEONOR P.FACILITY TYPE:
740
ADDRESS:2091 HANFORD DRIVETELEPHONE:
(858) 569-1691
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:6CENSUS: DATE:
07/03/2026
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Leonor Carmona, AdministratorTIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not treat residents with dignity
Staff did not assist resident with toileting needs


INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Leonor Carmona, Administrator

LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA Ruiz conducted the initial visit on June 2, 2022 and conducted a tour of the facility.

It was alleged that the staff did not treat residents with dignity and the staff did not assist resident with toileting needs. Interviews with the staff revealed they treat the residents with respect and treat them like family. Interviews revealed that the residents that needed assistance with toielting would get receive the assistance. Interviews revealed that the residents that were there in 2022 are no longer at the facility due to passing away or moving out. Interviews with staff revealed that they denied making residents use the restroom in their rooms. Interviews with staff revealed them denying not treating the residents with dignity.

The investigation did not produce supporting evidence to prove the staff did not treat residents with dignity and staff did not assist resident with toileting needs. The complaint allegations are unsubstantiated.

An exit interview was conducted with Leonor Carmona, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
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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