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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602902
Report Date: 03/24/2025
Date Signed: 03/24/2025 07:45:16 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/30/2021 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20210330091519
FACILITY NAME:LYN'S HOME CARE IIIFACILITY NUMBER:
374602902
ADMINISTRATOR:ABILLE, LYDIAFACILITY TYPE:
735
ADDRESS:186 MOSS STTELEPHONE:
(619) 426-2804
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:6CENSUS: 5DATE:
03/24/2025
UNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Licensee Lydia "Lyn" AbilleTIME COMPLETED:
08:00 PM
ALLEGATION(S):
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-Licensee did not provide clients enough food.
-Licensee did not provide clients with hot water.
-Licensee did not maintain facility cleanliness.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Lydia "Lyn" Abille.

The Complainant alleged that Licensee did not provide clients with enough food to eat, that Licensee did not provide clients with hot water, and that Licensee did not maintain facility cleanliness. CCLD’s investigation involved multiple unannounced facility tours and welfare checks on clients. The Department also interviewed multiple relevant staff and clients and reviewed pertinent care records.


[CONTINUED ON LIC 9099]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
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 8
Control Number 08-AS-20210330091519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LYN'S HOME CARE III
FACILITY NUMBER: 374602902
VISIT DATE: 03/24/2025
NARRATIVE
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[CONTINUED FROM LIC 9099]

Client interviews, supported by LPA observation, showed: Licensee typically served clients enough food to satisfy their hunger at breakfast and dinner meal periods. However, the lunchtime meal typically consisted of a small sandwich and one piece of fruit, which left some clients still hungry. Weight records over the past year showed that clients generally maintained stable body weight from one month to the next.

During his 03/24/2025 site visit, LPA measured hot water temperature from both the Kitchen and the common area Bathroom faucets, finding both were initially too cold. The Kitchen tap was initially 102.4 F, and the Bathroom tap was initially 100.9 F. Regulation required hot water in these locations to be maintained at between 105 F and 120 F. During today’s visit, adjustments were made to the facility’s water heater to bring the hot water temperature into the compliant range.

During his 03/24/2025 site visit, LPA observed: Windowsills in Bedroom #1 were visibly dirty (beyond just dust). Sections of walls beside a clients’ bed, located in Bedroom #2, were dirty/stained. Inside the medicine cabinet of the common area Bathroom was evidence of a cobweb and significant dirt material. Behind some boxes in the facility’s living room, where the administrator’s desk was located, LPA observed a few dead flies and dirt. Licensee had placed one (1) roach trap on the kitchen floor. Per staff interviews, staff clean and mop the facility daily, but they still see an occasional roach.

Based on records and interviews, a preponderance of evidence exists to show that Licensee did not always provide clients with enough food to eat, that Licensee did not provide clients with hot water, and that Licensee did not maintain facility cleanliness. These allegations were therefore Substantiated. Three (3) deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D pages). Plans of Correction were jointly developed with the Licensee.

An exit interview was conducted with Licensee Lydia "Lyn" Abille, to whom a copy of this report, the LIC 9099-D pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 08-AS-20210330091519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LYN'S HOME CARE III
FACILITY NUMBER: 374602902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/24/2025
Section Cited
CCR
80076(a)(1)
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80076 Food Services: “(a) In facilities providing meals to clients, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients.” This requirement was not met, as evidenced by:
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Licensee agreed to increase the amount of food typically served at lunch time, such as (but not limited to) the addition of one more soup or side, and to sometimes serve an alternative to sandwiches. Licensee agreed to inquire with clients at mealtimes, particularly lunchtime, to ask if they would like second servings. Licensee was advised that repeat violations of this same regulation may incur a civil penalty. This resolves the deficiency.
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Based on client interviews and LPA observation, Licensee did not ensure that food was of the quantity necessary to meet the needs of 2 of 4 clients (Client #1 and Client #2) interviewed for this complaint. This posed a potential health and personal rights risk to persons in care.
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Type B
03/24/2025
Section Cited
CCR
80088(e)(1)
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80088 Furniture, Fixtures, Equipment, and Supplies: “(e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F…and not more than 120 degrees F…” This requirement was not met, as evidenced by:
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During today's visit, adjustments were made to the facility's water heater to bring all plumbing fixtures used by clients back into the compliant temperature range. This resolves the deficiency.
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Based on LPA observation and thermometer measurement, Licensee did not maintain hot water temperature controls such that hot water delivered to plumbing fixtures used by clients was between 105 degrees F and 120 degrees F. This posed a potential personal rights risk to 6 of 6 clients (Client #1 through Client #6) 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: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 08-AS-20210330091519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LYN'S HOME CARE III
FACILITY NUMBER: 374602902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2025
Section Cited
CCR
80087(a)
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80087 Buildings and Grounds: “(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.” This requirement was not met, as evidenced by:
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Licensee agreed to: a) Hire a professional housekeeper to perform a one-time deep cleaning of the entire first floor of the facility, b) Enroll the facility in quarterly recurring services with a local pest control company, and c) Repaint the walls of Bedroom #1. License agreed to E-mail the paid housekeeping invoice, the executed pest control contract, and photos of the repainted Bedroom #1 walls to LPA, by the POC due date.
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Based on LPA observation, Licensee did not ensure the facility was clean and sanitary at all times for the safety and well-being of 6 of 6 clients (Client #2 through Client #7). This posed a potential health and personal rights risk to persons 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: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/30/2021 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20210330091519

FACILITY NAME:LYN'S HOME CARE IIIFACILITY NUMBER:
374602902
ADMINISTRATOR:ABILLE, LYDIAFACILITY TYPE:
735
ADDRESS:186 MOSS STTELEPHONE:
(619) 426-2804
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:6CENSUS: 5DATE:
03/24/2025
UNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Licensee Lydia "Lyn" AbilleTIME COMPLETED:
08:00 PM
ALLEGATION(S):
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-Licensee pursued unlawful eviction of client.
-Licensee’s staff took financial advantage of client.
-Licensee’s staff opened clients’ mail.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Lydia "Lyn" Abille.

The Complainant alleged that Licensee pursued unlawful eviction of Client #1 (C1), that Staff #1 (S1) took financial advantage of C1, and that Licensee’s staff opened clients’ mail. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] CCLD’s investigation involved multiple unannounced facility tours and welfare checks on clients. The Department also interviewed multiple relevant staff and clients and reviewed pertinent care records.


[CONTINUED ON LIC 9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 08-AS-20210330091519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LYN'S HOME CARE III
FACILITY NUMBER: 374602902
VISIT DATE: 03/24/2025
NARRATIVE
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[CONTINUED FROM LIC 9099-A]

Interviews of C1 and relevant staff, corroborated by records, showed: On 03/08/2021, Licensee served C1 with a 30-day eviction notice for breaking house rules. As far as CCLD was able to ascertain, the basis for the eviction notice was valid. The notice letter contained the required elements.

The Complainant said that S1 asked C1 to buy two bottles of body wash for them, for which S1 never reimbursed C1 for. Interviews of clients and staff did not yield evidence of S1 or any other facility staff asking any client to purchase merchandise for them, of taking money from them, or of trying to take financial advantage of them.

Interviews of clients and staff also did not yield evidence of facility staff tampering with clients’ mail.

Based on records and interviews, a preponderance of evidence does not exist to show that Licensee pursued unlawful eviction of C1, that Licensee’s staff took financial advantage of C1, or that Licensee’s staff opened clients’ mail. These three (3) allegations are therefore Unsubstantiated, and no deficiencies were cited for them.

An exit interview was conducted with Licensee Lydia "Lyn" Abille, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 8