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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602248
Report Date: 03/25/2026
Date Signed: 03/25/2026 05:52:38 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
03/10/2026 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20260310134003
FACILITY NAME:LUCY'S HOMEFACILITY NUMBER:
374602248
ADMINISTRATOR:LUCY ANTHONYFACILITY TYPE:
735
ADDRESS:4979 GOLF GLEN ROADTELEPHONE:
(619) 434-2188
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:4CENSUS: 2DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
04:05 PM
MET WITH:Licensee/Administrator, Lucy AnthonyTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff did not treat client with dignity
INVESTIGATION FINDINGS:
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On March 25, 2026, Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver findings regarding the above allegation. LPA met with Licensee/Administrator, Lucy Anthony, and discussed the contents of this report.

The Department’s investigation included a facility tour, observations, record review, and interviews with staff, Client 1 (C1), and outside sources. An LIC 811 was provided to the facility to identify C1.

On March 10, 2026, Community Care Licensing (CCL) received a report alleging that staff did not treat C1 with dignity and respect. Specifically, it was reported that staff used inappropriate and derogatory language when providing reminders related to daily chores and personal hygiene.

During an interview, C1 stated that staff at times speak in a frustrated or harsh manner when reminding them to complete chores or attend to personal hygiene. (continue at LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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-20260310134003
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: LUCY'S HOME
FACILITY NUMBER: 374602248
VISIT DATE: 03/25/2026
NARRATIVE
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(Continue from LIC9099)

C1 reported that these interactions tend to occur when staff appear upset. C1 described at least one instance in which a staff member made a comment perceived as demeaning while C1 was eating. C1 also reported a separate occasion in which a statement was made that caused C1 to feel unwelcome when leaving the facility with a friend; however, no witnesses were present, and C1 was unable to recall the exact date and time of the incident.

C1 stated that they have resided at the facility for many years and expressed that they like living there and do not wish to move. C1 also indicated some concern that staff may want them to leave the facility.

Record review indicates that C1 has resided at the facility since September 10, 2008. Documentation reflects a history of verbal disagreements between C1 and others, as well as identified goals to improve communication skills, reduce verbal conflicts, and utilize appropriate coping strategies.

During interviews, staff acknowledged that, at times, communication with C1 has not been delivered in a respectful or professional manner. Staff reported that reminders regarding hygiene and household responsibilities have occasionally been expressed in a manner that may be perceived as inappropriate or discourteous. Staff stated that their intent was to address concerns related to C1’s health, hygiene, and participation in daily living tasks; however, they recognized the need to maintain respectful and professional communication at all times.

Staff also acknowledged that statements have been made advising C1 of their option to seek alternative placement if they are dissatisfied with the living arrangement.

Based on interviews and record review, there is sufficient evidence to support that staff used language that was not consistent with maintaining the personal rights and dignity of the client.

Therefore, the allegation is substantiated, meaning the preponderance of evidence standard has been met.

(Continue at LIC9099C)
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20260310134003
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: LUCY'S HOME
FACILITY NUMBER: 374602248
VISIT DATE: 03/25/2026
NARRATIVE
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(Continue from LIC9099C)


A deficiency was cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8, as noted on the attached LIC 9099-D. A Plan of Correction (POC) was developed with the Administrator to address staff training needs, including personal rights, appropriate communication, and de-escalation techniques, as well as reinforcing structured expectations for client participation in daily activities.

An exit interview was conducted with Administrator Anthony. A copy of this report, LIC 9099-D, LIC 811 (Confidential Names), and Licensee Appeal Rights (LIC 9058) were provided at the conclusion of the meeting.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20260310134003
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: LUCY'S HOME
FACILITY NUMBER: 374602248
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/27/2026
Section Cited
CCR
80072(a)(3)
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80072(a)(3) – Personal Rights. Each client shall be accorded personal rights, which include, but are not limited to, ..(3) To be free from corporal or unusual punishment, .... humiliation, intimidation, ridicule, .., threat, mental abuse.. This requirement was not met as evidence by:
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The Licensee agreed to conduct Staff Training with all staff including licensee by an independent provider on Personal Rights with emphasis on respectful communication, maintaining client dignity, and professional boundaries.
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Based on interviews and record review, the licensee failed to ensure that Client 1 (C1) was treated with dignity and respect at all times. This poses a potential risk to the health, safety, and emotional well-being of one (1) if two (2) clients in care.
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Licensee agreed to submit documentation of the training by POC deadline 4-27-2026
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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: 04/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4