374601552-5-15-2026-08-AS-APAO-DUA6SD-20260520210347

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601552
Report Date: 05/15/2026
Date Signed: 05/15/2026 06:06:44 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
10/27/2021 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20211027084921

FACILITY NAME:	LILY OF THE VALLEY II		FACILITY NUMBER:	374601552
ADMINISTRATOR:	ELISOL PUNAY		FACILITY TYPE:	740
ADDRESS:	11419 WESTONHILL DRIVE		TELEPHONE:	(858) 271-6849
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92126
CAPACITY:	0	CENSUS:	DATE:	05/15/2026
		UNANNOUNCED	TIME BEGAN:	05:35 PM
MET WITH:	Licensee, Christine Matthews		TIME COMPLETED:	05:50 PM

ALLEGATION(S):

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Licensee neglected resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegation. LPA contacted Licensee, Christine Matthews to discuss the finding.

During the investigation, records were reviewed, and interviews were conducted with staff and outside sources. It was alleged that the licensee neglected a resident. The administrator’s interview confirmed that individual was identified by the facility as a renter. The renter resided on the second floor of the facility, where there were no resident rooms. The renter has resided at the facility since 2006. A review of the Facility Personnel Report Summary indicated that the individual reported as a resident was fingerprint cleared and associated to the facility. Facilities are not required to fingerprint and/or associate residents. Title 22 Regulations outlines that any adults other than a resident, residing in the facility, shall have a criminal record clearance. Therefore, the tenant obtained one to remain in the facility as a renter. Continued on LIC 9099C.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

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 08-AS-20211027084921

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: LILY OF THE VALLEY II	FACILITY NUMBER: 374601552
	VISIT DATE: 05/15/2026

NARRATIVE

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Based on interviews and record review, this agency has investigated the complaint alleging Licensee neglected resident. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Licensee, Christine Matthews as the facility is closed.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC9099 (FAS) - (06/04)

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