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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603439
Report Date: 07/14/2026
Date Signed: 07/14/2026 01:57:48 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
06/09/2026 and conducted by Evaluator Janet Ngallo
COMPLAINT CONTROL NUMBER: 08-AS-20260609151807
FACILITY NAME:CASA DE MANANAFACILITY NUMBER:
374603439
ADMINISTRATOR:MARIVEL JOHNSONFACILITY TYPE:
740
ADDRESS:849 COAST BLVDTELEPHONE:
(858) 456-4268
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:249CENSUS: 211DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Executive Director Marivel JohnsonTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee does not ensure elevator is in working order.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA identified themselves and met with Executive Director Marivel Johnson to discuss the purpose of the visit and elements of the complaint.

On 06/09/2026, it was alleged that the licensee does not ensure that the facility elevator is in working order. The department's investigation consisted of interviews and records review.

[Cont. on LIC 9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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-20260609151807
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: CASA DE MANANA
FACILITY NUMBER: 374603439
VISIT DATE: 07/14/2026
NARRATIVE
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[Cont. from LIC 9099]

Regarding the allegation, interviews with staff reported that the elevators have had intermittent issues historically and were repaired as problems occurred. Staff stated that when an elevator was unexpectedly out of service beginning in May 2026, an elevator vendor was contacted, parts were ordered, and notifications were provided to residents and families. Staff stated that residents who wished to relocate were offered temporary rooms, and accommodations such as wellness checks, personal assistance, meal delivery, mail delivery, and transportation support were provided. Staff stated the elevator was restored to service once repairs were completed and cleared by the appropriate inspector.

Interviews with residents reported that the elevator outage lasted several weeks and caused inconveniences. Residents stated the facility offered relocation options, provided meal delivery and mail, and communicated updates through written notices and meetings. Some residents expressed frustration with the duration of repairs and the impact on daily routines, but also stated that staff were helpful and attentive during the outage.

Review of elevator permits showed valid certification for operation. Review of inspection and maintenance invoices from the elevator service company indicated regular quarterly maintenance and identified items requiring repair, including electrical and mechanical components. Review of repair proposals showed scheduled replacement of aging parts, including generators and other components. Review of facility notifications confirmed written communication to residents regarding elevator outages, expected timelines, available accommodations, and updates on repair progress.

During a facility tour, LPA observed elevators in the affected buildings to be operational. LPA also observed the availability of a stair-assist chair for mobility support.

Based on interviews, observations and records review, the preponderance of evidence standard has not been met, therefore the above allegation is found to be unsubstantiated. An exit interview was conducted with Executive Director Marivel Johnson and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2