374604041-8-20-2025-18-AS-RSTS-DKZUN3-20250829154313

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604041
Report Date: 08/20/2025
Date Signed: 08/20/2025 01:55:30 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/20/2025 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250820095304

FACILITY NAME:	HIDDEN GLENN SENIOR LIVING VII		FACILITY NUMBER:	374604041
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	1353 OAK HILL DRIVE		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 13	DATE:	08/20/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Brigitta Lofvendahl, Executive Director		TIME COMPLETED:	02:05 PM

ALLEGATION(S):

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Staff are not meeting resident's dietary needs.

INVESTIGATION FINDINGS:

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On 08/20/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation listed above. The LPA met with Brigitta Lofvendahl, Executive Director and explained the elements of the allegation. The investigation consisted of interviews and records review.

On 08/11/25 Community Care Licensing received a complaint alleging staff are not meeting resident's dietary needs. It was alleged that Resident #1 (R1)s dietary needs are not being met. It was further alleged that R1 is not allowed to have too much meat, there are no alternate meals, and that R1 is buying their own food. During today's visit, LPA conducted a review of the facility food supply, which was found to be adequate as there was a 2 day supply of perishables and a 7 day supply of non perishable food items. LPA conducted a records review and R1 was not observed to have a prescribed modified diet from a physician. Further the physician's report dated 12/01/24, indicates that R1 does not have a special diet. Per interview conducted with R1 revealed that when it comes to the food that is being served that if they do not eat it and that they

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025

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 18-AS-20250820095304

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: HIDDEN GLENN SENIOR LIVING VII	FACILITY NUMBER: 374604041
	VISIT DATE: 08/20/2025

NARRATIVE

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will order their own food from fast food restaurants. R1 denied making a request to staff to be served an alternate meal.

Per interview with Executive Director Brigitta Lofvendahl, R1 does not have a prescribed modified diet, but a request was received on 07/05/25, from R1s responsible party for R1 to have more vegetables when meat is being served. Per Lofvendahl the staff were informed of the request, and have followed the directive that was given.

Additionally, per a records review of a unusual/injury incident report R1 was sent out on 06/07/25, for symptoms related to a medical diagnosis. The LPA reviewed emergency room discharge paperwork for R1 dated 06/07/25, and one of the instructions for care at home provided was to "eat less seafood and red meat", and to follow up with primary care physician. Per the email dated 06/13/25, R1's discharged paperwork was sent to R1s doctor. A response was received via email on 06/19/25 which included two medication prescriptions. There is nothing documented stating that R1 was prescribed a modified diet. Based on interviews and records review, the allegation of staff are not meeting resident's dietary needs, is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was reviewed and provided to Brigitta Lofevendahl, Executive Director.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025

LIC9099 (FAS) - (06/04)

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