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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601097
Report Date: 12/07/2023
Date Signed: 12/07/2023 05:27:06 PM

Unfounded


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
06/26/2023 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20230626110502
FACILITY NAME:CASA DEL SOLFACILITY NUMBER:
374601097
ADMINISTRATOR:VIDA DACANAYFACILITY TYPE:
740
ADDRESS:4290 LAYLA WAYTELEPHONE:
(619) 662-1979
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:6CENSUS: 4DATE:
12/07/2023
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Administrator, Vida DacanayTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful Eviction
Licensee did not notify POA of care meeting
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA was greeted by Administrator, Vida Dacanay to whom she identified herself and discussed the purpose of the visit.

The Department investigated the above-listed complaint allegations. The investigation consisted of a tour of the facility, multiple interviews with staff, residents, and outside sources, and records review.

On June 26, 2023, Community Care Licensing (CCL) received a complaint alleging that the licensee issued an unlawful eviction to R1. It was specifically alleged that on May 25th, 2023, R1 was mailed an eviction notice by the licensee effective June 25, 2023. CCL reviewed the eviction notice and determined that the eviction notice issued met Title 22 regulations and therefore was considered lawful. In addition, after further consideration of R1’s needs and collaborating with R1’s care team, the licensee rescinded the 30-day notice.
(Continue at LIC9099C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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 4
Control Number 08-AS-20230626110502
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: CASA DEL SOL
FACILITY NUMBER: 374601097
VISIT DATE: 12/07/2023
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
(Continue from LIC9099)

R1 continued to live at the facility under the care and supervision of the outside agency with coordinated care provided by facility staff. Therefore, this allegation is unfounded as the 30-day notice was not put in effect.

It was also alleged the licensee did not notify R1’s responsible party of a care conference that was held on April 24, 2023. Per a review of the care conference minutes it was disclosed that the outside medical agency responsible for R1’s medical care coordinated and set up the care conference. The licensee assumed the outside agency notified R1’s responsible party. The investigation did not disclose any evidence that the licensee purposely excluded R1’s responsible party from participating in the care conference.

Based on the results of the investigation, which consisted of observations, interviews with staff, and outside sources, and a review of pertinent resident and facility records there was no evidence found to support the allegations listed in this report. The Department has found that the complaint allegations were unfounded, meaning that the allegations were false, could not have happened, and/or are without a reasonable basis.

An exit interview was conducted with Administrator, Vida Dacanay, to whom a copy of this report, Confidential Names List (LIC 811), and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4
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
06/26/2023 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20230626110502

FACILITY NAME:CASA DEL SOLFACILITY NUMBER:
374601097
ADMINISTRATOR:VIDA DACANAYFACILITY TYPE:
740
ADDRESS:4290 LAYLA WAYTELEPHONE:
(619) 662-1979
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:6CENSUS: 4DATE:
12/07/2023
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Administrator, Vida DacanayTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not obtain medical care for resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA met with Administrator, Vida Dacanay, and shared findings.

The Department investigated the above-listed complaint allegation. The investigation consisted of observations, a review of relevant records, and interviews with facility staff, and outside sources.

On June 26, 2023, Community Care Licensing (CCL) received a complaint alleging that the licensee did not obtain medical care for resident (R1). This allegation was addressed and investigated in a prior complaint investigation. No additional details of any other medical condition or what medical care was not provided for R1 were disclosed during this investigation. A review of R1’s service care plan provided by outside agency and facility staff indicated that R1’s medical care needs were met.
(Continue at LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20230626110502
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: CASA DEL SOL
FACILITY NUMBER: 374601097
VISIT DATE: 12/07/2023
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
(Continue from LIC9099A)


The Department has investigated the above-mentioned allegations and based on interviews with staff, residents, outside sources, and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Administrator, Vida Dacanay, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided at the conclusion of the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4