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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603481
Report Date: 05/08/2026
Date Signed: 05/08/2026 02:35:07 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
03/23/2026 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20260323162532
FACILITY NAME:MARYAM ARFFACILITY NUMBER:
374603481
ADMINISTRATOR:LEEDA DOSTFACILITY TYPE:
735
ADDRESS:9319 NORTHVIEW TERRACETELEPHONE:
(858) 348-7247
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:6CENSUS: 4DATE:
05/08/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maria Lerma - House ManagerTIME COMPLETED:
02:34 PM
ALLEGATION(S):
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Resident was financially abused by staff
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Maria Lerma, House Manager.

On March 26, 2026 the Department received this complaint which alleged Resident #1 (R1) was financially abused by Staff #1 (S1) on or around 2015 or 2016. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] Allegedly, R1 moved out of the facility to live with S1 as their primary caretaker which was when the alleged financial abuse took place. The Department’s investigation included a review of records as well as interviews.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
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-20260323162532
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: MARYAM ARF
FACILITY NUMBER: 374603481
VISIT DATE: 05/08/2026
NARRATIVE
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(Continued from LIC9099)

The facility is required to retain personnel records for at least 3 years following termination of employment as well as retaining client records for at least 3 years following termination of service to client. Since the alleged incident took place on or around 2015 or 2016 there were no client or staff records available to confirm a timeline of client and staff involvement at the facility.

Department records revealed that S1 was associated to work at the facility from 7/28/2015 through 9/16/2015, but this does not necessarily confirm employment timeline. Further records reviewed revealed that S1 is not presently associated with any licensed facility and has been permanently excluded, preventing them from working at any licensed facility in the state of California. Therefore, S1 does not currently pose a risk to persons in care at any licensed facilities.

Additional records reviewed revealed that a restitution judgement from the Superior Court of California, County of San Diego was filed 11/30/2018 in which S1 is mandated to credit R1. There are no records available to prove what events led to the restitution judgement, whether it was related to financial abuse, or if it happened while R1 was at the facility or S1 worked at the facility. The facility is not responsible for care and supervision of the resident after moving out of the facility, nor the actions of former staff.

Per interview with Administrator, she was unaware of any financial abuse or she would have appropriately reported it to the Department. Administrator reported from her memory R1 did not have a conservator and was in control of her own money. An interview with R1 confirmed that she has never had a representative payee, and the facility did not have control of her money during the duration of her residence.

The Department has investigated the allegation that R1 was financially abused by staff. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate this allegation and therefore deemed unsubstantiated. An exit interview was conducted with Maria Lerma, House Manager, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026
LIC9099 (FAS) - (06/04)
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