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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603607
Report Date: 06/20/2025
Date Signed: 06/20/2025 01:54:31 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
08/16/2024 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20240816102521
FACILITY NAME:FAMILY VALUES IIIFACILITY NUMBER:
374603607
ADMINISTRATOR:LORELIE MANAIGFACILITY TYPE:
735
ADDRESS:3302 YBARRA ROADTELEPHONE:
(619) 303-4261
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91978
CAPACITY:6CENSUS: 3DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Lorelie Manaig, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are not ensuring resident's podiatry needs were met
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings regarding the above-mentioned allegations. LPA was allowed entry by the Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the findings with the Administrator.

On August 16, 2024, Community Care Licensing received an allegation that staff were not ensuring residents’ podiatry needs were being met. LPA conducted a tour of the facility, reviewed relevant records, and interviewed staff, outside sources, and the resident in question.

Staff reported that Resident 1 (R1) receives podiatry care through a mobile provider approximately every two months, with appointments scheduled based on availability. The last appointment was in May 2024. The Administrator stated that the facility does not control the scheduling availability of the podiatry office, and the appointment for July 2024 was not conducted; the doctor was a no-show.

Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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-20240816102521
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: FAMILY VALUES III
FACILITY NUMBER: 374603607
VISIT DATE: 06/20/2025
NARRATIVE
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The Administrator was awaiting a return call to reschedule. R1 did not report any foot pain during the LPA interview and consented to a visual inspection of their feet, which showed toenails were not long, though there was some calcium-like buildup. No signs of distress were noted. LPA spoke with the Outside Source (OS1) regarding concerns related to the resident's care and podiatry services. The OS1 stated they had no concerns with the overall care the facility was providing to the resident. Additionally, the OS1 had no concerns regarding the podiatry care the resident received during their stay at the facility. Therefore, there is not enough evidence to support the allegation.

Based on interviews, record review, and observation, the allegation is unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and her signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2