374601046-10-31-2025-18-AS-JDHS-DRUPXC-20260304104204

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601046
Report Date: 10/31/2025
Date Signed: 10/31/2025 01:05:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/22/2024 and conducted by Evaluator Venus Mixson

COMPLAINT CONTROL NUMBER: 18-AS-20240422152642

FACILITY NAME:	BROOKDALE PLACE OF SAN MARCOS		FACILITY NUMBER:	374601046
ADMINISTRATOR:	PRESTON, MARIO		FACILITY TYPE:	740
ADDRESS:	1590 W SAN MARCOS BLVD		TELEPHONE:	(760) 471-9904
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	245	CENSUS: 167	DATE:	10/31/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	LICENSEE, MARIO PRESTON		TIME COMPLETED:	09:33 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff neglect resulting in resident abusing another resident

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On October 31, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Licensee, Amber Rodgers. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation.
On April 22, 2024, Community Care Licensing received a complaint alleging Staff neglect resulting in resident abusing another resident. It was reported Resident #1 (R1), spouse who is also R1’s roommate is abusive towards R1. Information obtained from interview with Licensee; Mario Preston denied the allegation the Staff neglect resulted in resident abusing another resident. Licensee indicated that the roommate and spouse of R1 is bedridden and on hospice. Additionally, the Licensee, stated the two residents are hard of hearing therefore they must speak in raised voices to hear each other. Information obtained from interviews with staff members indicated couple is always talking loudly but mainly R1 is the one who speaks roughly to R2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025

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-20240422152642

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: BROOKDALE PLACE OF SAN MARCOS	FACILITY NUMBER: 374601046
	VISIT DATE: 10/31/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Information received from interviews with R1 indicated R1 recanted their statements; stating they were not abused, and they do not recall saying they were abused by anyone. Information obtained from interviews with the Witness confirmed there were no statements made to them by R1 indicating they were abused by another resident. Additional, Witness interviews indicated R2 is not physically able to cause any physical abuse and R1 and R2 are both hard of hearing. LPA’s review of the records at the time of the visit, including R1’s and R2’s plan of care and Physicians report demonstrate both residents have hearing loss, and R2 is receiving services through Hospice. LPA’s review of the records confirmed there was no documentation confirming there was any type of physical abuse or staff neglect noted covering the investigation period. LPA’s observations confirmed both residents have experienced hearing loss. Additionally, R2 is unable to speak loudly or get out of bed without assistance. LPA conducted subsequent interviews with additional Witnesses, and they advised that they were unaware there were any concerns with staff neglect resulting in the resident abusing another resident. Additional Witnesses indicated there were no further concerns or issues brought to their attention with regard to R1 being abused by R2.

Based on information obtained from interviews, record reviews, and observations, the evidence received pertaining to the allegation, staff neglect resulting in residence abusing another resident, the allegation has been deemed unsubstantiated. An unsubstantiated allegation means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted. A copy of this report was discussed and given to the Licensee, Amber Rodgers.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2