374603439-7-14-2026-08-AS-LTEZ-DWNSCZ-20260805134623

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603439
Report Date: 07/14/2026
Date Signed: 07/14/2026 02:02:19 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
06/17/2026 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20260617114316

FACILITY NAME:	CASA DE MANANA		FACILITY NUMBER:	374603439
ADMINISTRATOR:	MARIVEL JOHNSON		FACILITY TYPE:	740
ADDRESS:	849 COAST BLVD		TELEPHONE:	(858) 456-4268
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	249	CENSUS: 211	DATE:	07/14/2026
		UNANNOUNCED	TIME BEGAN:	11:01 AM
MET WITH:	Executive Director Marivel Johnson		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Resident is being over charged for smaller accomodations.
Staff are not following resident's admission agreement.

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 allegations. LPA identified themselves and met with Executive Director Marivel Johnson to discuss the purpose of the visit and elements of the complaint.

On 06/17/2026, it was alleged that a resident(R1) is being overcharged for smaller accommodations, and that staff are not following R1's admissions agreement. 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)

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Control Number 08-AS-20260617114316

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 allegations, interviews reported that residents temporarily relocated during the elevator outage were not charged for two rooms, even when belongings remained in their original apartment. Interviews stated that relocation was offered at no additional cost, and residents were informed of available accommodations such as wellness checks, personal assistance, meal delivery, mail delivery, and transportation support. Staff stated that rate adjustments or refunds were not authorized due to residents occupying two rooms. Staff also stated that the resident was offered assistance transporting personal belongings to their temporary apartment, and offered the option to bring R1's bed down to the temporary apartment as well.

Interview with R1 reported paying the one bedroom rate while temporarily relocated to a studio due to the elevator outage. R1 expressed frustration that a reduced rate or reimbursement was not provided for the inconvenience, and reported difficulty accessing belongings left in the original apartment. R1 confirmed being offered assistance and the option to bring belongings to the temporary apartment, but declined.

Review of the admissions agreement showed a section permitting substitution of apartments when necessary due to emergencies, lawful orders, or reasonable purposes determined by the licensee. The agreement states that residents will pay the monthly fee applicable to the substituted apartment. Review of the resident’s medical assessment and preplacement appraisal confirmed mobility limitations affecting the ability to use stairs during the elevator outage.

Based on interviews and records review, the preponderance of evidence standard has not been met, therefore the above allegations are 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)

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