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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600904
Report Date: 11/19/2025
Date Signed: 11/19/2025 12:49:37 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
07/31/2024 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20240731100008
FACILITY NAME:L & M RESIDENTIALFACILITY NUMBER:
374600904
ADMINISTRATOR:LARA, OSCARFACILITY TYPE:
735
ADDRESS:2840 VIA DEL ALLAZONTELEPHONE:
(619) 267-4955
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:4CENSUS: 3DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Administrator, Oscar LaraTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff did not have documentation of training
Staff did not have first aid training
INVESTIGATION FINDINGS:
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On November 19, 2025, Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a telephone conference with Administrator Oscar Lara to present the investigative findings.

The Department’s investigation included a facility tour, record review, and staff interviews.

On July 31, 2024, Community Care Licensing (CCL) received a report stating that, during a facility evaluation conducted on July 18, 2024, staff did not have required training documentation and did not have current First Aid certification as required by Title 22 regulations.

Record review and staff interviews indicated that the Corrective Action Plan was cleared on November 1, 2024. The licensee submitted documentation showing completed training and current First Aid certificates for the staff in question. Review of records confirmed that all staff had current training and First Aid certificates. (Continue at LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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 5
Control Number 08-AS-20240731100008
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: L & M RESIDENTIAL
FACILITY NUMBER: 374600904
VISIT DATE: 11/19/2025
NARRATIVE
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(Continue from LIC9099)



Based on the information obtained through record review and staff interviews, the above allegations are substantiated. A substantiated finding means the preponderance of evidence standard has been met. Deficiencies are cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8, and are noted on the attached LIC 9099-D. A Plan of Correction was developed with Administrator Lara and was completed on November 1, 2024. No further action is required at this time.

An exit interview was conducted with Administrator Lara. A copy of this report, the LIC 9099-D, and the Licensee Appeal Rights (LIC 9058) were provided via email. An electronic read receipt confirmed delivery.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

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

DATE:
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 08-AS-20240731100008
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: L & M RESIDENTIAL
FACILITY NUMBER: 374600904
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2025
Section Cited
CCR
80066(a)(6)
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The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. .. Documentation of the educational background, training and/or experience specified in licensing regulations for the type of facility in which the employee works. This requirement was not met as evidenced by:

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 Plan of Correction was developed with Administrator Lara and was completed on November 1, 2024. No further action is required at this time.
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Based on records review and staff interviews, the Licensee did not ensure documentation of required training was properly maintained for each employee. This posed a potential health and safety risk for three (3) clients in care.
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Type B
11/19/2025
Section Cited
CCR
80075(f)
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Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies, including but not limited to the American Red Cross. This requirement was not met as evidenced by:
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A Plan of Correction was developed with Administrator Lara and was completed on November 1, 2024. No further action is required at this time.
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Based on records review and staff interviews, the Licensee did not ensure that staff completed the required First Aid training certifications. This posed a potential health and safety risk for three (3) 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: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
07/31/2024 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20240731100008

FACILITY NAME:L & M RESIDENTIALFACILITY NUMBER:
374600904
ADMINISTRATOR:LARA, OSCARFACILITY TYPE:
735
ADDRESS:2840 VIA DEL ALLAZONTELEPHONE:
(619) 267-4955
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:4CENSUS: 3DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Administrator, Oscar LaraTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Facility was in disrepair
INVESTIGATION FINDINGS:
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On November 17, 2025, Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a telephone conference with Administrator Oscar Lara to present the investigative findings.
The Department’s investigation included a facility tour, record review, and staff interviews.

On July 31, 2024, Community Care Licensing (CCL) received a report alleging that, during a facility evaluation conducted on July 18, 2024, the facility was in disrepair. The allegations included safety concerns related to ongoing renovations, specifically: a large hole in the garage ceiling, a broken pool fence, and obstructed exit gates.

Based on observations during a facility tour on August 7, 2024, a follow-up inspection on December 16, 2024, and interviews with staff, the following information was obtained:

(Continue at LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 08-AS-20240731100008
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: L & M RESIDENTIAL
FACILITY NUMBER: 374600904
VISIT DATE: 11/19/2025
NARRATIVE
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(Continue from LIC9099)
1. Bathroom and Laundry Room Remodel
Staff reported that the facility underwent remodeling from July 15 to July 30, 2024. The bathtub was removed and replaced with a shower stall to create additional space in the adjoining laundry room. This allowed staff to fully open the washer and dryer doors. Staff stated that the construction did not affect residents, as they used the second bathroom during the remodel. Work was completed while residents attended the day program Monday–Friday, 7:15 a.m.–3:30 p.m., and contractors worked from 8:30 a.m.–2:30 p.m.

2. Garage Ceiling Leak
Staff reported that a leak in the garage caused a hole in the ceiling. The repair was completed, and staff stated that residents did not have access to the garage during this time.

3. Broken Pool Fence
Staff stated that a portion of the pool fence had two rusted posts that were loose and required replacement. The repair was completed on July 19, 2024. Staff reported that residents had no access to the pool area, as the pool remained empty, fenced, and secured with a locked gate.

4. Exit Gates
Staff denied that exits were obstructed. They reported that new latches were installed that could be opened from inside the gates, and that the gates were never locked.

Record review and staff interviews indicated that the Corrective Action Plan was cleared on November 1, 2024. The licensee submitted documentation confirming completed repairs. Photographs of the bathroom, laundry room, pool fence, exit gates, and garage ceiling corroborated that the repairs were completed. No violations were observed during the December 16, 2024, inspection conducted by CCL.

Based on interviews and record review, the Department determined that although the allegations may have occurred, there is not a preponderance of evidence to prove or disprove the allegations. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Administrator Lara. A copy of this report and the Licensee Appeal Rights (LIC 9058) were provided via email. An electronic read receipt confirmed delivery.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5