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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603465
Report Date: 10/05/2026
Date Signed: 10/05/2026 12:28:53 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
11/17/2021 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20211117153001
FACILITY NAME:RENOWN SUITESFACILITY NUMBER:
374603465
ADMINISTRATOR:MICHELLE RETZERFACILITY TYPE:
740
ADDRESS:8702 TOMMY DR.TELEPHONE:
(619) 466-9924
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:6CENSUS: DATE:
10/05/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Michelle RetzerTIME COMPLETED:
11:01 AM
ALLEGATION(S):
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Facility charged for services not received .
Staff did not provide admission agreement to authorized representative.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong contacted Administrator Michelle Retzer via telephone to deliver findings. On November 17, 2021, Community Care Licensing (CCL) received a complaint alleging facility charged for a month of services not rendered and staff did not provide an admissions agreement. During the investigation, the Department attempted to collect facility records and conducted interviews. Interview with Administrator revealed that all residents and their responsible parties are issued a copy of the signed Admissions Agreement. Interview with the Administrator revealed that R1 was taken to the hospital and passed away while on hospice at their home, not the facility. Interview established that Administrator was not informed of resident’s passing until weeks after resulting in R1’s personal belonging remaining at the facility. Later, a refund was requested for R1’s final month, in which R1’s personal belongings remained at the facility. Administrator was then informed that the party responsible did not understand the Admissions Agreement and the parties responsible were provided with a copy of the agreement. According to Administrator, R1 was not eligible for a refund based on timeframes. There were no records available to corroborate the allegations. Based on the interviews, there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report and Appeal and Licensee Rights (LIC 9058 03/22) were provided to the Administrator via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2026
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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