374603437-2-23-2026-08-AS-APAO-DRL9GC-20260223222118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603437
Report Date: 02/12/2026
Date Signed: 02/23/2026 10:48:05 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
01/28/2026 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20260128102314

FACILITY NAME:	SUNGARDEN TERRACE		FACILITY NUMBER:	374603437
ADMINISTRATOR:	SUSAN O'SHAUGHNESSY		FACILITY TYPE:	740
ADDRESS:	2045 SKYLINE DRIVE		TELEPHONE:	(619) 462-5831
CITY:	LEMON GROVE	STATE: CA	ZIP CODE:	91945
CAPACITY:	110	CENSUS: 46	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Susan O'Shaughnessy Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility does not have hot water.
Staff do not provide residents with a comfortable temperature.
The facility does not provide quality food.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo made an unannounced visit to conduct an investigation on the above-mentioned allegations. LPA met with Executive Director Susan O'Shaughnessy and discussed the basic elements of the complaint. The Department’s investigation consisted of staff, resident, outside source interview s and a facility tour.

On January 28, 2026, Community Care Licensing (CCL) received a complaint alleging that the Facility does not have hot water. During the visit, the LPA tested hot water temperatures in resident bathrooms and kitchen areas using a calibrated thermometer. Regulations requires that hot water in resident-use fixtures be maintained between 105°F and 120°F to ensure comfort and safety. Observations showed hot water temperatures measured at 100 degrees Fahrenheit, which is within the regulatory range. Faucets were functioning properly, and residents were observed using sinks and showers without difficulty. No signs of plumbing malfunction were noted. A review of facility maintenance logs indicated that water heaters were serviced on a regular basis and were operational. No documented complaints regarding lack of hot water were found in communication logs or grievance records. Facility policies on environmental safety and maintenance were current and consistent with Title 22 and Health & Safety Code requirements.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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 3

Control Number 08-AS-20260128102314

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: SUNGARDEN TERRACE	FACILITY NUMBER: 374603437
	VISIT DATE: 02/12/2026

NARRATIVE

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(Continued from LIC9099 2 of 3) Two staff members were interviewed. Both staff stated that hot water is available throughout the facility and confirmed that temperatures are checked regularly during housekeeping and maintenance rounds. Staff reported that any plumbing issues are addressed immediately and documented in the maintenance log. Two residents were interviewed; both reported that they have access to hot water for bathing and hand washing and stated they have not experienced any issues with water temperature. Two outside sources, were interviewed, both stated they have not observed any problems with hot water during visits and reported that residents appear to have access to functioning bathrooms and showers. Outside sources noted that the facility communicates promptly if maintenance is needed, and the nurse confirmed that the environment meets health and safety standards.

On January 28, 2026, Community Care Licensing (CCL) received a complaint alleging that the Staff do not provide residents with a comfortable temperature. Interview with Staff 1 (S1) confirmed measures have been taken, such as insulated draperies, offering of different room accommodations, offering individual room heaters and extra blankets, as well as timely responses to requests of modifying residents room temperature to make residents feel more comfortable in their room. During the visit, the LPA observed the facility’s indoor temperature and confirmed readings within the range required by Title 22 regulations requires that facilities maintain a comfortable temperature for residents, generally between 68°F and 85°F. Observations showed the thermostat set at 74 degree Fahrenheit and functioning properly. Residents were observed wearing appropriate clothing, and no signs of discomfort were noted. A review of facility records, including maintenance logs and temperature checks, indicated that the heating and cooling systems were serviced on a regular basis and were operational. No documented complaints regarding uncomfortable temperatures were found in the communication logs or grievance records. Facility policies on environmental comfort and maintenance were current and consistent with Title 22 and Health & Safety Code requirements.

Two staff members were interviewed. Both staff stated that the facility maintains the thermostat within the required range and adjusts temperatures based on resident feedback. Staff reported that residents are encouraged to use personal fans or blankets if they prefer a different temperature and that any concerns are addressed promptly. Two residents were interviewed; both reported that the temperature in the facility is comfortable and stated they have not experienced issues with heating or cooling. Residents confirmed that staff respond quickly to any requests for adjustments. Two outside sources were interviewed. Both stated they have not observed any issues with temperature during visits and reported that residents appear comfortable. The family member noted that the facility communicates promptly if maintenance is needed, and the nurse confirmed that the environment meets health and safety standards.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260128102314

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: SUNGARDEN TERRACE	FACILITY NUMBER: 374603437
	VISIT DATE: 02/12/2026

NARRATIVE

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(Continued from LIC9099 3 of 3) On January 28, 2026, Community Care Licensing (CCL) received a complaint alleging that the facility does not provide quality food. During the visit, the LPA observed a scheduled meal service and reviewed posted menus. Observations showed the menu aligned with these required regulations listing balanced offerings and noting alternatives for residents with preferences or dietary restrictions. Meals appeared palatable and were served at appropriate temperatures, and staff were observed following sanitary practices. The dining environment was orderly, with residents receiving assistance as needed and opportunities to request substitutions. A review of facility records indicated that menus were planned in advance and reflected seasonal diets. Kitchen temperature logs and maintenance records showed refrigerator and hot
holding equipment within safe ranges, and staff training files documented completed in-services
on safe food handling, sanitation, and resident nutrition consistent with Title 22 expectations Communication logs and grievance records did not reflect a pattern of complaints about food quality. The facility’s policies on food service and sanitation were current and consistent with Health & Safety standards for safe meal preparation and service.

Two staff members were interviewed. The food service supervisor stated that menus are developed to meet nutritional guidelines, with daily alternatives available, and that resident feedback is solicited and incorporated through suggestion sheets and resident council input. The caregiver interviewed reported that staff assist residents during meals, monitor intake, and promptly address concerns and provide substitutions, adjusting portions, or offering alternate textures for residents with chewing/swallowing needs. Both staff denied systemic issues with food quality and described routine temperature checks and cleanliness practices.

Two residents were interviewed; both reported the food as generally satisfactory, noting that meals are varied and substitutions are available upon request. One resident shared that they prefer milder seasoning and that staff consistently accommodate this preference; the other resident stated portion sizes are adequate and that they have not experienced problems with the freshness or temperature of meals. Two outside sources, were interviewed. Outside source 1 (OS1) reported no ongoing concerns with food quality and observed that the facility communicates about diet changes and accommodates preferences. Outside source 2 (OS2) stated the meals observed were consistent with a balanced diet and reported that residents appeared to tolerate and accept the food well, with staff responsive to dietary needs and hydration prompts.

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 allegation is UNSUBSTANTIATED. An exit interview was conducted with Susan O'Shaughnessy Administrator, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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