374603565-9-5-2025-08-AS-LTEZ-DLDVT2-20250910164225

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 09/05/2025
Date Signed: 09/05/2025 03:42:07 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
12/22/2021 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20211222100718

FACILITY NAME:	LA VIDA REAL		FACILITY NUMBER:	374603565
ADMINISTRATOR:	KIMBERLY GARCIA		FACILITY TYPE:	740
ADDRESS:	11588 VIA RANCHO SAN DIEGO		TELEPHONE:	(619) 660-5778
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	177	CENSUS: 126	DATE:	09/05/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Business Office Manager Kristin Molina		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Licensee did not safeguard resident’s personal information
Facility staff did not protect resident’s privacy

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings on the above-mentioned allegations. LPA metBusiness Office Manager Kristin Molina and discussed the purpose of the visit.

On December 22, 2021, Community Care Licensing (CCL) received a complaint alleging licensee did not safeguard resident’s personal information and facility did not protect resident’s privacy. During the investigation, the Department conducted interviews, and reviewed facility records.

According to the allegation on December 20, 2021, a representative of Resident 1 (R1) received an unwarranted phone call regarding additional services to be paid for out of pocket by R1, though R1 or representative had not requested such services. Records from the Executive Director revealed that an outside source medical agency had been recently contracted to provide rehabilitation services to residents in care. Additional records show that such outside source medical agency had been providing services at the facility since November of 2021.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2025

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-20211222100718

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: LA VIDA REAL	FACILITY NUMBER: 374603565
	VISIT DATE: 09/05/2025

NARRATIVE

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It was also alleged that prior to the phone call mentioned above, R1 was visited in their room on two separate occasions by an unknown person and was asked for medical insurance documentation, making R1 feel like their privacy was violated. According to records collected, the unknown person was an employee of an outside source medical agency who was hired by the facility to provide rehabilitation services. Interview with outside source confirmed that outside source medical agency was only attempting to collect health insurance information to provide R1 with additional services.

Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Business Office Manager Kristin Molina, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2025

LIC9099 (FAS) - (06/04)

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