374603625-1-8-2025-08-AS-SJAB-DDF2H5-20250130162410

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603625
Report Date: 01/07/2025
Date Signed: 01/08/2025 11:11:41 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
12/30/2024 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20241230155843

FACILITY NAME:	STELLAR CARE		FACILITY NUMBER:	374603625
ADMINISTRATOR:	BRANDON CHO		FACILITY TYPE:	740
ADDRESS:	4518 54TH STREET		TELEPHONE:	(619) 287-2920
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	120	CENSUS:	DATE:	01/07/2025
		UNANNOUNCED	TIME BEGAN:	10:31 AM
MET WITH:			TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Licensee did not allow resident to have visitors

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Amy Rodgers and Arian Golbakhsh conducted an unannounced complaint visit to the facility to open a complaint on the above-mentioned allegation. LPAs gained access to the facility, identified themselves, and met with Administrator Brandon Cho to discuss the purpose of the visit. The Department’s investigation consisted of review of a resident file, interviews with staff, a resident as well as interviews with outside sources.

It was alleged that Licensee did not allow resident to have visitors. Interviews with outside sources, staff and Resident #1 (R1) [See LIC 811 Confidential Names List for a description of R1.] confirmed that R1 does have a visitor restriction. The Licensee representative and R1’s responsible party deemed R1's visitor is disruptive and poses a threat to R1, staff, and other residents in care. Interviews with Licensee representative and R1 responsible party indicates the licensee representative clearly communicated their visitation policies to R1's responsible party upon admission. Interviews with Licensee representative and R1’s reporting party confirmed licensee staff are attempting to work out visitation guidelines for R1. (Continued on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Amy Rodgers	TELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

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-20241230155843

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: 01/07/2025

NARRATIVE

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(continued from 9099)

It was also determined the licensee representative did not restrict telephone communication with R1 and worked with R1’s responsible party to restrict access to R1's visitor to supervised visits in the lobby. Interviews confirmed R1 is allowed unlimited full access to phone calls.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Administrator Cho, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Amy Rodgers	TELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC9099 (FAS) - (06/04)

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