374604042-10-20-2025-18-AS-CTUA-DMXNYA-20251030105223

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604042
Report Date: 10/20/2025
Date Signed: 10/20/2025 02:21:06 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
10/17/2025 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20251017151950

FACILITY NAME:	HIDDEN GLENN SENIOR LIVING I		FACILITY NUMBER:	374604042
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	612 TRANQUILITY GLEN		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 12	DATE:	10/20/2025
		UNANNOUNCED	TIME BEGAN:	12:22 PM
MET WITH:	Brigitta Lofevendahl., Executive Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff violated a resident's personal rights.

INVESTIGATION FINDINGS:

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On 10/20/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence an investigation in regards to the allegation noted above. On 10/17/25 Community Care Licensing received a complaint alleging staff violated the personal rights of Resident#1 (R1).

During today’s visit LPA conducted a walk through of the facility in an attempt to locate R1 to conduct an interview. LPA observed for (R1) to not be in any of the designted resident bedrooms. After further investigation LPA conducted a records review of the facility census, which revealed that R1 was residing at the Sister facility therefore the complaint allegation of staff violated a resident's personal rights 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 where a copy of this report was reviewed and provided to Executive Director Brigitta Lofevendahl.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2025

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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