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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604058
Report Date: 06/01/2023
Date Signed: 06/01/2023 02:44:35 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/24/2023 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20230524162511
FACILITY NAME:NIR COMMUNITY IIFACILITY NUMBER:
374604058
ADMINISTRATOR:HUQ, RANAFACILITY TYPE:
740
ADDRESS:10935 JEFFREY COURTTELEPHONE:
(858) 348-2017
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:6CENSUS: 6DATE:
06/01/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Administrator, Faria HuqTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility staff do not provide quantity of food necessary to meet residents needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Faria Huq.

During today's visit, LPA briefly toured the facility, interviewed staff, residents, and outside sources. It was alleged the facility staff do not provide quantity of food necessary to meet residents needs. Outside source interviews revealed the residents are served a minimal amount of food, resulting in the residents remaining hungry. It was also reported the residents are too scared to ask for additional food. Staff interviews revealed residents have different food options. Some residents have pureed food, some vegetarian, and other regular meals. Staff will ask the residents what they want to eat. The administrator buys and supplies the food based on the resident's request. Staff also stated residents do not typically finish their meals. Resident interviews confirmed they are served enough food, there are multiple options and they can ask for additional food. Continued on an LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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 2
Control Number 08-AS-20230524162511
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: NIR COMMUNITY II
FACILITY NUMBER: 374604058
VISIT DATE: 06/01/2023
NARRATIVE
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Further resident interviews confirmed they are not scared to ask for additional food. Resident interviews disclosed if they do not like what they are served they will ask for something different and it's not a problem. The administrator's interview also confirmed residents are provided enough food. Administrator also stated the residents are allowed to ask for more food. Administrator has observed residents eating meals and none of them have ever asked for additional food. However, it's available. Administrator explained they also provide additional snacks. Today, LPA observed a sufficient food supply.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator, Faria Huq whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2