374603625-3-3-2025-08-AS-SJAB-DEXNTK-20250320104449

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603625
Report Date: 03/03/2025
Date Signed: 03/03/2025 01:29:33 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
02/06/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250206104231

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:	150	CENSUS:	DATE:	03/03/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Administrator Brandon Cho		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Staff left resident in a soiled diaper for a long period of time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to the facility to deliver the findings of a complaint on the above-mentioned allegation. Upon arrival, LPA Rodgers identified herself and met with Administrator Brandon Cho to address the purpose of her visit.

The Department investigated the above-listed complaint allegation. The investigation included a facility tour, record review, interviews with key staff, and an outside source.

(Continued 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: 03/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025

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-20250206104231

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: 03/03/2025

NARRATIVE

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(Continued from 9099)

On February 6, 2025, Community Care Licensing (CCL) received a complaint alleging that Staff left a resident in a soiled diaper for a long period. More Specifically, Resident # (R1) arrived, by bus transportation, at an external day program facility with a soiled incontinence pull-up. R1 has a history of incontinent issues and according to R1's needs and care plan (dated 1/15/25 ) and interviews from staff, R1 is escorted by facility staff to and from meals and activities as well as assistance with incontinence care. Staff interviews and LPA observation confirm there is an area located inside the facility near the exit that is used for incontinence brief changes and is constantly used to check for incontinence issues before outings. A record review and staff interviews reveal an incontinence schedule was followed on the date of the incident. Outside sources confirm they visit R1 often and take R1 out of the facility and have never witnessed any soiled incontinence issues that would be of concern.

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 Brandon Cho, Administrator. A copy of this report was provided and their signature on this report confirms receipt.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Amy Rodgers	TELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025

LIC9099 (FAS) - (06/04)

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