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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603236
Report Date: 06/04/2026
Date Signed: 06/04/2026 11:32:04 AM

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
08/31/2021 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20210831174458
FACILITY NAME:ROXIES ELDERLY HOMES IFACILITY NUMBER:
374603236
ADMINISTRATOR:TERESITA ROXASFACILITY TYPE:
740
ADDRESS:290 HOLIDAY WAYTELEPHONE:
(760) 722-5920
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY:6CENSUS: 4DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
11:14 AM
MET WITH:Teresita Roxas, AdministratorTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
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9
Facility staff locked resident (s) in their room.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Licensee Teresita "Roxie" Roxas.

The Department’s investigation consisted of interviews with staff and outside sources and a tour of the facility. It was alleged that facility staff locked residents in their room. Interviews revealed that there are no residents from 2021 at the faciliy. Other interviews revealed that the residents have not been locked in their rooms and have not observed any staff locking the other residents in their rooms. Interviews with staff denied the allegation of locking residents in their rooms and revealed they have not observed any staff locking the residents in their rooms.

Based on the evidence obtained from interviews, the complaint allegation is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Teresita Roxas, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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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