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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602972
Report Date: 05/07/2026
Date Signed: 05/07/2026 04:10:48 PM

Unsubstantiated


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
04/14/2026 and conducted by Evaluator Jose DeLaCruz
COMPLAINT CONTROL NUMBER: 08-AS-20260414155717
FACILITY NAME:PLAZA VILLAGE SENIOR LIVINGFACILITY NUMBER:
374602972
ADMINISTRATOR:MEGAN AMYFACILITY TYPE:
740
ADDRESS:950 L AVETELEPHONE:
(619) 289-8798
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:85CENSUS: 58DATE:
05/07/2026
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Facility Director Megan MooreTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Unlawful eviction
Staff stole resident's property
Facility not helping resident obtain medical care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced visit regarding the above mentioned allegations. LPA was greeted and granted entry by Facility Director (FD) Megan Moore, to whom he identified himself and explained the purpose of the visit.

The Reporting Party (RP) alleged illegal eviction. Specifically, that the resident was at risk of eviction due to non payment and lacked funds or income. RP also alleged that the facility was neglecting the resident’s medical care by failing to provide transportation to medical and personal appointments. Lastly, RP stated that former staff member had stolen property belonging to the resident.




[CONTINUED ON LIC9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
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 2
Control Number 08-AS-20260414155717
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: PLAZA VILLAGE SENIOR LIVING
FACILITY NUMBER: 374602972
VISIT DATE: 05/07/2026
NARRATIVE
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[CONTINUED FROM LIC9099]

A facility visit was conducted on 04/14/2026, during which LPA interviewed the resident. During the interview, staff approached the resident on three separate occasions to confirm transportation arrangements and medical care scheduled for that day. The resident also acknowledged financial difficulties but could not explain the sudden change in their ability to pay. The resident also stated that a former staff member had taken their phone and replaced it with one that did not work.

LPA interviewed the Facility Director. FD stated that the resident manages their own finances and had stopped paying without explanation. FD confirmed that an eviction notice for non payment was issued with a due date of March 28, 2026, but was not enforced because the facility wished to work with the resident and avoid displacement. FD provided documentation of outings and transportation services showing multiple medical appointments attended. Regarding the alleged theft, FD stated that the staff member in question had attempted to help the resident switch from a prepaid phone plan to a monthly plan. According to FD, the resident did not continue paying for the service and assumed the phone was not working. FD reported that a phone in the medication room is available to all residents.

LPA also interviewed the resident’s outside source (OBM). OBM stated they were assisting the resident with establishing a payment plan, though the resident did not disclose the source of their income. OBM confirmed that Adult Protective Services (APS) was aware of and monitoring the situation.

On May 07, 2026, LPA conducted a follow up visit. FD stated that the resident had not been evicted, was not in the process of eviction, and had resumed paying rent along with an additional undisclosed amount. LPA interviewed the resident, who confirmed that eviction was no longer being pursued and that the facility had been providing necessary medical transportation. The resident declined to disclose the source of their payments.

Based on records reviewed and interviews with the resident, facility staff, and outside sources, the information obtained does not support the allegations. The preponderance of evidence standard has not been met, and the allegations are deemed unsubstantiated.

Report and Appeal Rights were discussed with and provided to the Licensee. The Licensee’s signature below confirms receipt.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2