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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603625
Report Date: 01/14/2025
Date Signed: 01/14/2025 11:37:54 AM

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
10/01/2024 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20241001152941
FACILITY NAME:STELLAR CAREFACILITY NUMBER:
374603625
ADMINISTRATOR:BRANDON CHOFACILITY TYPE:
740
ADDRESS:4518 54TH STREETTELEPHONE:
(619) 287-2920
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:120CENSUS: 100DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Brandon ChoTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not prevent residents from engaging in inappropriate interactions
Staff did not prevent resident from verbally harassing other resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Executive Director Brandon Cho.

The Department’s investigation consisted of interviews with outside sources, residents and staff, records review, and a tour of the facility. It was alleged that the staff did not prevent residents from engaging in inappropriate interaction and Staff did not prevent resident from verbally harassing other resident in care. [Continued on 9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025
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-20241001152941
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: STELLAR CARE
FACILITY NUMBER: 374603625
VISIT DATE: 01/14/2025
NARRATIVE
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[Continued from 9099]

Review of records revealed Residents in the facility have conflict history with other residents, disorientation and sometimes have inappropriate affection with other residents. Staff interviews revealed the staff step in and assist with preventing inappropriate interactions between residents. The staff will intervene to keep the residents safe. Interviews revealed the staff understand and are trained for dementia resident behaviors. Records review indicates staff are informed of behaviors upon residents’ entry to facility. Outside Source interview and Resident #1 (R1) [See LIC 811 Confidential Names List for a description of C1]. Interview revealed contradictory statements regarding details of the allegations. Interviews further revealed the staff redirected residents to protect R1’s personal rights. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid.

An exit interview was conducted with Executive Director Brandon Cho, and a copy of this report and Licensee Rights (LIC9058 03/22) were provided at the conclusion of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2