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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603839
Report Date: 02/06/2025
Date Signed: 02/06/2025 03:45:18 PM

Substantiated


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
01/29/2025 and conducted by Evaluator Iby Strong
COMPLAINT CONTROL NUMBER: 08-AS-20250129161529
FACILITY NAME:ABIGAIL'S HOMESFACILITY NUMBER:
374603839
ADMINISTRATOR:GONZALEZ, BRENDA ABIGAILFACILITY TYPE:
735
ADDRESS:532 BILLOW DRTELEPHONE:
(619) 825-6689
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:4CENSUS: 2DATE:
02/06/2025
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Assistant Administrator Dario Fabian GonzalezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not provide adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit initiate an investigation on the above-mentioned allegation. LPA met with Caregiver Daniel Moreno and discussed the basic elements of the complaint. Assistant Administrator Dario Fabian Gonzalez arrived shortly after.

On January 29, 2025, Community Care Licensing (CCL) received a complaint alleging staff did not provide Client 1 (C1) enough food for lunch. During investigation, LPA Strong collected pertinent client records, made observations, and conducted interviews. According to C1’s Physician’s Report dated November 30, 2023, C1 is diagnosed with schizophrenia and bipolar disorder, intellectual disability and can follow instruction. Based on C1’s Individual Program Plan, C1 requires prompting and reminders for daily activities and choices.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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-20250129161529
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: ABIGAIL'S HOMES
FACILITY NUMBER: 374603839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/13/2025
Section Cited
CCR
80076(a)(1)
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Food Service (a) in all facilities providing meals to clients (1)all food shall be...of the quality and in the quantity necessary to meet the needs of the clients. Each meal shall meet at least 1/3 of the servings recommeded in the USDA food plan.
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Licensee states that they will initiate meal planning and portions for client in care while following sample menu. LPA will review plan via email.
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This requirement was not met as evidenced by: Based on interviews and observations the licensee did not provide meals in the quality or quantity necessary to meet the needs of the clients in 1 of 2 persons in care ([C1]) which posed a potential Health risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20250129161529
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: ABIGAIL'S HOMES
FACILITY NUMBER: 374603839
VISIT DATE: 02/06/2025
NARRATIVE
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According to allegation, between December 2024 and January 2025, C1 has been arriving to an outside program with less than enough food for a meal and on January 29, 2025, C1 arrived with only three meatballs for lunch. Outside source interviews revealed that C1 has, on multiple occasions, arrive with either small portions of food or no food at all. Interview with C1 confirmed that this has occurred on various occasions and when food is available at the facility it is heavily processed frozen meals. LPA Strong observed photographs of C1’s meals which confirmed such meals being provided to C1. Interview with staff revealed that C1 is assisted by staff with making lunch each morning.

Based on interviews and observations, a preponderance of evidence exists to support the allegations. Deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Assistant Administrator Dario Fabian Gonzalez, to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3