374603836-10-9-2025-08-AS-RCLK-DN3LZ8-20251103081131

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603836
Report Date: 10/09/2025
Date Signed: 10/09/2025 03:59:51 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
09/02/2025 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250902235014

FACILITY NAME:	SENIORS DIGNITY HOME AND CARE		FACILITY NUMBER:	374603836
ADMINISTRATOR:	ALOZIE, EDWARD		FACILITY TYPE:	740
ADDRESS:	966 BOLLENBACHER STREET		TELEPHONE:	(619) 957-6133
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92114
CAPACITY:	6	CENSUS: 5	DATE:	10/09/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Edward Alozie, Licensee		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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- Staff pushed a resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigative findings regarding the above allegation. LPA identified herself and was granted entry by Edward Alozie, Licensee. LPA stated the purpose of the visit and reviewed the findings of the complaint with licensee Alozie.

The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On September 2, 2025, it was alleged that staff pushed a resident while in care.

Upon review of resident #1’s (R1) records, the Physician’s Report (LIC602) states that R1 has an underlying medical condition which AI describes as a progressive form of memory loss caused by damage to the brain’s blood vessels. According to their LIC602, R1 does have behaviors and agitation but is managed with medications.

(Continuation on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025

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 3

Control Number 08-AS-20250902235014

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: SENIORS DIGNITY HOME AND CARE	FACILITY NUMBER: 374603836
	VISIT DATE: 10/09/2025

NARRATIVE

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(Continuation of LIC9099)

Their mental condition on their LIC602 indicated they are confused and disoriented, have inappropriate and wandering behaviors, but has the ability to communicate their needs and follow instructions. R1 does need assistance with self-care needs such as grooming, dressing, and bathing; and needs assistance with toileting needs. Additionally, R1 is aided with medication management.

It was specifically alleged on 09/02/2025, R1 is always pushed by staff #1 (S1) while in their care. Resident interviews did not confirm staff had pushed a resident. According to resident #1 (R1), they said a black man had pushed them slowly while they were in the living room approximately 4 days earlier. R1 mentioned that they had hit their head, but they had not sustained any injuries. They said that this had transpired around 10 AM, and there were no other persons around during the incident. They said that they had no issues living at the facility. Additional residents were interviewed, and resident #2 (R2) said that they heard R1 speak loudly and at first believed that they may have been hard of hearing. They hear that R1 is hesitant to shower in the mornings to get ready for their program, and they start to yell at the Licensee. R2 says that Licensee attempts to ignore R1's yelling. R2 said that they are being cared for by good people. R2 is able to hear what is occurring near their surroundings. According to the interview with resident #3 (R3), they have heard yelling outside their room, but do not understand much of what is being conversed. R3 mentioned that they were able to understand that they wanted to assist someone. They said that they are being cared for by an amiable person. LPA attempted to interview resident #4 (R4), who did not want to speak with LPA regarding facility matters. LPA attempted to speak with resident #5 (R5), but due to their underlying medical condition, they were deemed not to be a credible source. R5 seemed to be scattered in their conversations and spoke of varied topics during a conversation. According to the Licensee, they had a difficult time with R1 in keeping themselves clean on their buttocks area. The licensee described R1 to have fecal matter on their bed when R1 does not clean themselves correctly when doing their business in the bathroom. Licensee then attempts to redirect R1 to assist them or to bathe them, but R1 yells at them. According to the Licensee, R1 has behaviors when they need to shower but prompts them by insisting that their responsible person wants them to shower and R1 complies. R1 does yell and decline to shower but eventually does shower. Licensee said that they or their staff have not witnessed or physically pushed any client nor have they received any reports indicating any sort of allegation towards staff. They have only confirmed persuading residents to shower, as they understand their rights. Interviews with an outside agency said that they had no concerns regarding abuse at this facility.

(Continuation on LIC9099-C)

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250902235014

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: SENIORS DIGNITY HOME AND CARE	FACILITY NUMBER: 374603836
	VISIT DATE: 10/09/2025

NARRATIVE

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(Continuation of LIC9099-C)

During the initial visit, LPA observed that there were two residents who ate their breakfast in the living room area later in the day, around 10, but both were unable to have a qualified interview. Around 10 AM, there were two additional staff members, one who cooked and a second who was a caregiver. LPA observed that the caregiver cleaned the facility and the residents upon their arrival into the facility. No residents or staff disclosed pushing of a resident. LPA observed R1, who did not have any redness or injuries to their person.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with Licensee Edward Alozie. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to licensee Alozie at the conclusion of the visit. The signature below confirms the receipt of these documents.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025

LIC9099 (FAS) - (06/04)

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