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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602567
Report Date: 05/06/2025
Date Signed: 05/06/2025 02:38:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
04/30/2025 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250430124435
FACILITY NAME:WOODLAND GARDEN RESIDENTIAL CARE IIFACILITY NUMBER:
374602567
ADMINISTRATOR:BENITO ENCABOFACILITY TYPE:
740
ADDRESS:1709 KATY PLACETELEPHONE:
(760) 294-5728
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:6CENSUS: DATE:
05/06/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee, Benito EncaboTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff yells at residents
INVESTIGATION FINDINGS:
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On 5/6/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to investigate the allegation listed above. LPA was greeted and granted entry by Caregiver, Brenda Catap who was informed of the purpose of the visit. Licensee, Benito Encabo arrived during the visit and was also informed of the purpose of the visit. During the visit there was two (2) care staff and five (5) residents present.

LPA toured the facility, conducted interviews, and photographed pertinent records. Regarding the allegation, "Staff yells at residents" it was alleged Caregiver Catap was heard yelling at a resident. It was further alleged Catap yells at all the residents. Three (3) of five (5) residents interviewed were qualified to be reliable historians. Three (3) of five (5) residents interviewed corroborated Catap uses a condescending tone, hostile demeanor and constantly yells at them and other residents in the home. Three (3) of five (5) residents interviewed reported witnessing Catap aggressively yell at two (2) residents this morning (5/6/25) after one (1) of the residents requested care assistance.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
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 3
Control Number 18-AS-20250430124435
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WOODLAND GARDEN RESIDENTIAL CARE II
FACILITY NUMBER: 374602567
VISIT DATE: 05/06/2025
NARRATIVE
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One (1) additional staff was interviewed and corroborated the allegation. One (1) staff interviewed reported witnessing Catap use a hostile tone to yell at the residents frequently, especially those Catap dislikes. One (1) staff interviewed reported they do not intervene when Catap yells at the residents because Catap will begin yelling at staff as well. One (1) staff interviewed reported they frequently assist the residents to avoid them requesting assistance from Catap and result in Catap yelling at them. Licensee was interviewed and reported last week, Resident 1 (R1) reported allegations of Catap aggressively yelling at them and other residents in the home. Licensee reported last week, they conducted an informal meeting with Catap and verbally counseled them regarding R1’s allegations and treating residents with dignity and respect. Licensee added they also conducted a recent in-service all staff training regarding residents’ personal rights. Licensee reported verbal counseling, and all staff training was not documented. Licensee reported he has received allegations of Catap arguing with Resident 2’s (R2’s) family in the past and addressed the issue by verbally counseling Catap. Licensee reported Catap has a great work ethic. Catap was interviewed and denied yelling at the residents in a hostile and/or abusive manner. Catap reported she only yells at the residents because they are hard of hearing, and she treats all the residents with dignity and respect. LPA reviewed Catap’s signed Offer of Employment dated 5/1/24 listing one (1) of Catap’s duties and responsibilities as maintaining a professional relationship with the residents and their family. During the tour, LPA also observed a poster noting residents’ personal rights which was visibly posted on the dining room wall. Catap also reported having knowledge of the residents’ personal rights. Based on LPA’s interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099 D. After Licensee provided the plan of correction, Licensee reported they had to step away from the facility and requested Caregiver, Connie Barrachina sign the report on his behalf. As requested, LPA conducted an over the phone exit interview with Licensee and reviewed the report, LIC 9099-D, Confidential Names list (LIC811) and Appeal Rights. Copies of the report, LIC 9099-D, LIC 811, and Appeal Rights were provided to Caregiver Barrachina.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 18-AS-20250430124435
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WOODLAND GARDEN RESIDENTIAL CARE II
FACILITY NUMBER: 374602567
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2025
Section Cited
CCR
87468.1(a)(1)
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(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
This requirement was not met as evidenced by:
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Licensee requested the Plan of Correction (POC) be the termination of Catap's employment due Catap continuing to yell and not treat residents with dignity despite being verbally counseled more than once. Catap's termination of employment letter to be provided to LPA by close of business on 5/8/25.
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During a complaint investigation, LPA found Caregiver Catap yells at the residents in a hostile manner. This poses a potential health, safety, and/or personal rights risk to residents 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: Anthony Perez
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
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