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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604232
Report Date: 04/29/2026
Date Signed: 04/29/2026 05:18:15 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
03/11/2026 and conducted by Evaluator Nacole Patterson
COMPLAINT CONTROL NUMBER: 08-AS-20260311095205
FACILITY NAME:REMINGTON CLUB IIFACILITY NUMBER:
374604232
ADMINISTRATOR:GOLZE, RYANFACILITY TYPE:
740
ADDRESS:16922 HIERBA DRIVETELEPHONE:
(858) 673-6333
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:140CENSUS: 75DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Executive Director Daniel Slaughter and Health and Wellness Director Raquel MathewsTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Unlawful eviction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Daniel Slaughter and Health and Wellness Director Raquel Mathews.

On 03/11/2026 it was alleged that the Licensee provided an unlawful eviction to Resident 1 (R1). The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, resident, outside sources, and records review. Interviews with staff revealed that R1 had lived at the facility for approximately 2.5 months prior to receiving the 30-day Notice to Vacate letter on 02/19/2026. The reason for eviction was due to R1 violating the policies of the facility by being verbally abusive toward staff. Staff members who provided direct care to R1 were interviewed; these staff consistently informed that R1 spoke to them rudely, swore at them, used derogatory phrases, hit items out of their hands, threw items at them, and made demeaning comments toward them. Staff informed that these behaviors increased when R1 became intoxicated. (Continued on LIC9099 p.2)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
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 4
Control Number 08-AS-20260311095205
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: REMINGTON CLUB II
FACILITY NUMBER: 374604232
VISIT DATE: 04/29/2026
NARRATIVE
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(Continued from LIC9099 p.1)

Facility management informed that a letter was provided to R1 on 01/30/2026, prior to the eviction notice, informing R1 that they were not in compliance with facility policies due to staff mistreatment. This letter referenced two prior direct conversations that had been held requesting for R1 to refrain from verbal abuse toward staff. Management additionally informed that the 30-day Notice to Vacate was served to R1 on February 19th, 2026, however the document did not contain all of the required information. Management informed that a second 30-day Notice to Terminate letter with all of the required information was given to R1 on February 24th, 2026. Management informed that upon confronting R1 regarding their behavior toward staff, R1 denied the claims and indicated that whatever statements that were made were outside of R1's awareness that staff could hear them.

A private interview was conducted with R1 during an unannounced facility visit. R1 denied being disrespectful to staff and believed that a specific staff member was targeting them. R1 admitted to saying the word "stupid" once regarding a food situation, and stated they may have made a remark about staff who they thought were out of earshot.

Outside sources were interviewed regarding the allegation. One outside provider informed that R1 was direct with their communication, but the source had not directly observed R1 engage disrespectfully toward staff. A second outside source from an advocacy agency informed that the situation had been made known to them, but they were not given permission by R1 to speak with any staff members in order to verify or refute the information.

Records review corroborated staff statements regarding R1's behavior toward facility staff. A formal notice to R1 dated 01/30/2026 informed that R1 was not in compliance with facility policies due to their mistreatment toward staff. The 02/19/2026 30-day Notice to Vacate informed of the Licensee's intention to evict R1, however the document did not contain the required elements for the eviction to be enforceable. The second 30-day Notice to Terminate, dated 02/24/2026, included the required elements for a valid eviction notice and included a list of specific events where R1 swore at staff, threw items, and made demeaning statements. Care notes for R1, from their date of admission to the time of the eviction notice, detailed situations where R1 mistreated staff. The Resident Handbook stated that residents and guests were expected to behave in a civil manner that would not cause unreasonable distress, discomfort, annoyance, disturbance or inconvenience to other residents, employees and management of the community. (Continued on LIC 9099 p.3)

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20260311095205
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: REMINGTON CLUB II
FACILITY NUMBER: 374604232
VISIT DATE: 04/29/2026
NARRATIVE
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(Continued from LIC9099 p.2)

While the evidence gathered supports the Licensee's justification for R1's eviction due to violating the general policies of the facility, the first eviction notice provided to R1 on 02/19/2026 was unlawful due to not containing the required elements. The subsequent eviction notice dated 02/24/2026, however, was valid based on the reason for eviction and required elements existing in the document.

Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation occurred and is therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Executive Director Daniel Slaughter and Health and Wellness Director Raquel Mathews, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20260311095205
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: REMINGTON CLUB II
FACILITY NUMBER: 374604232
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2026
Section Cited
CCR
87224(d)(1)
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The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. The notice to quit shall include the following information:...”
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Licensee acknowledged that the eviction notice on 02/19/2026 did not contain all of the required information, and did not enforce it. Management agreed to review the Title 22 requirements regarding eviction procedures, provided during the visit, and adhere to the requirements for future evictions.
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This requirement was not met, as evidenced by: Based on interviews and records, Licensee did not provide the required information in an eviction notice to R1. This resulted in a personal rights risk to 1 of 75 resdients 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: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4