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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604232
Report Date: 01/23/2025
Date Signed: 01/23/2025 10:05:47 AM

Unfounded


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
11/20/2024 and conducted by Evaluator Carmen Lopez
COMPLAINT CONTROL NUMBER: 08-AS-20241120094141
FACILITY NAME:REMINGTON CLUB IIFACILITY NUMBER:
374604232
ADMINISTRATOR:TERRI BOSTIANFACILITY TYPE:
740
ADDRESS:16922 HIERBA DRIVETELEPHONE:
(858) 673-6333
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:140CENSUS: 54DATE:
01/23/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Raquel Matthews, Director of Health and WellnessTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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- Facility staff did not provide resident with timely medical assistance
- Facility staff left resident on the floor
- Facility staff did not provide resident with medication(s) as prescribed
- Facility staff did not assist residents care needs
- Residents personal rights were violated
- Facility staff did not provide resident with meals
- Facility did not follow admission agreement
- Facility did not provide resident with basic services
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver findings for an opened complaint investigation. LPA identified herself and was granted entry by concierge Sabrina Uchino and Geizel Dasig. LPA stated the purpose of the visit and reviewed the findings of the complaint with Raquel Matthews, Director of Health and Wellness and Meagan Milligan, Business Office Manager.

The Department’s investigation consisted of interviews with staff and records review of relevant documents pertinent to this investigation. On November 20, 2024, it was alleged that the facility did not provide resident with timely medical assistance; facility left resident on the floor; facility staff did not provide medications as prescribed; facility did not assist resident with care needs; residents personal rights were violated; facility staff did not provide residents with meals; facility did not follow admission agreement; and facility did not provide resident with basic services.

(Continuation on LIC9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
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-20241120094141
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: 01/23/2025
NARRATIVE
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(Continuation of LIC9099)

Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during staff interviews, and records reviewed, we have found that the complaint was unfounded, meaning 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 and were out of the Department’s jurisdiction. The Department has cross-reported this complaint to the appropriate agencies for follow-up.

The report was discussed, and an exit interview was conducted with Raquel Matthews, Director of Health and Wellness, and Meagan Milligan, Business Office Manager. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Director of Health and Wellness Matthews at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2