374604232-3-28-2023-08-AS-DPOL-CQEQFL-20230330120803

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604232
Report Date: 03/28/2023
Date Signed: 03/28/2023 03:16:03 PM

Unfounded

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
03/24/2023 and conducted by Evaluator Marisela Garcia-Centeno

COMPLAINT CONTROL NUMBER: 08-AS-20230324140627

FACILITY NAME:	REMINGTON CLUB II		FACILITY NUMBER:	374604232
ADMINISTRATOR:	TERRI BOSTIAN		FACILITY TYPE:	740
ADDRESS:	16922 HIERBA DRIVE		TELEPHONE:	(858) 673-6333
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY:	140	CENSUS: 62	DATE:	03/28/2023
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Administrator, Terri Bostian		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Licensee did not treat insect infestation
Facility staff did not provide adequate food service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to open a complaint investigation. While at the facility LPA investigated and delivered findings regarding the above-mentioned allegations. LPA identified herself and was granted entry by Business Office Manager, Melodie McInnis. LPA stated the purpose of the visit and reviewed the findings of the complaint with Administrator, Terri Bostian.

The Department’s investigation consisted of interviews with staff and records reviewed of relevant documents pertinent to this investigation, and LPA observations of the facility grounds. On March 24, 2023, it was alleged that the licensee did not treat insect infestation; and facility staff did not provide adequate food service.

(Continue at LIC9099C)

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno	TELEPHONE: (619) 323-4834
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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 08-AS-20230324140627

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: REMINGTON CLUB II	FACILITY NUMBER: 374604232
	VISIT DATE: 03/28/2023

NARRATIVE

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Continue from LIC9099

Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained from staff interviews and records review, we have found that the complaint was unfounded. An unfounded determination means that the allegation was false, could not have happened and/or is without a reasonable basis. The allegations were not pertinent to this licensed facility. The Department will be cross reporting this complaint to the appropriate agency for follow-up.

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

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno	TELEPHONE: (619) 323-4834
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC9099 (FAS) - (06/04)

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