374603279-1-28-2026-08-AS-SMAZ-DRTRZA-20260303122735

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603279
Report Date: 01/28/2026
Date Signed: 01/28/2026 05:39:43 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
01/22/2026 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20260122124442

FACILITY NAME:	BELMONT VILLAGE SABRE SPRINGS		FACILITY NUMBER:	374603279
ADMINISTRATOR:	TRACY KNEPPLE		FACILITY TYPE:	740
ADDRESS:	13075 EVENING CREEK DR S		TELEPHONE:	(858) 486-5020
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY:	184	CENSUS: 151	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Executive Director Tracy Knepple		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Staff did not assist resident in a timely manner.
Staff were not properly trained in emergency procedures.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Tracy Knepple.

On 01/22/2026, it was alleged that staff did not assist Resident 1 (R1) in a timely manner, and staff were not properly trained in emergency procedures. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, and records review. Staff interviews revealed that staff followed the official facility procedures, in order, for a false alarm by locating the alarm source, deactivating the alarm, deactivating the strobe light, cancelling the fire department, notifying management, responding to resident pendant calls, and giving the "all clear". Staff interviews additionally revealed that the response time for the resident in question during the false alarm was reasonable at 22 minutes, during which time all residents had pushed their pendants as well. Staff interviews revealed that all staff were trained for fire emergencies upon hire, and annually and monthly thereafter. (Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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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Control Number 08-AS-20260122124442

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: BELMONT VILLAGE SABRE SPRINGS	FACILITY NUMBER: 374603279
	VISIT DATE: 01/28/2026

NARRATIVE

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(Continued on LIC9099 p.2)

Staff were also spot-trained on a random basis regarding fire emergencies and what to do. Staff provided information regarding the process during emergency procedures, which was consistent with facility records and procedures regarding emergencies.

Resident 1 (R1) was interviewed during an unannounced facility visit. R1 stated that their main concern was what felt like a delay in communication regarding the "all clear", after staff confirmed the incident to be a false alarm. R1 acknowledged that during the time of the incident, staff were assisting all residents in the community, including residents with higher care needs. R1 informed they appreciated their feedback to the facility being taken seriously, and R1 has been involved in updating the resident-facing communication regarding what to do in emergencies.

Records review revealed consistent emergency training conducted by staff annually and monthly, which corroborated staff statements. R1's pendant log showed that R1 received assistance from staff 22 minutes and 30 seconds after pushing their pendant, which was during the false alarm.

During an unannounced facility visit LPA directly observed the location where the fire alarm was pulled, the alarm stations, fire extinguishers, and fire alarms throughout the building. The observations made by LPA were consistent with staff interviews, resident interview, and records reviewed.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Tracy Knepple, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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