374604267-4-13-2026-08-AS-APAO-DUC2NE-20260522173238

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604267
Report Date: 04/13/2026
Date Signed: 04/13/2026 01:16:55 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
04/08/2026 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20260408125632

FACILITY NAME:	CLOISTERS OF THE VALLEY, LLC		FACILITY NUMBER:	374604267
ADMINISTRATOR:	DISHA FRANCES-HALL		FACILITY TYPE:	740
ADDRESS:	4171 CAMINO DEL RIO SOUTH		TELEPHONE:	(619) 283-2226
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92108
CAPACITY:	70	CENSUS: 64	DATE:	04/13/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Executive Director Tia Suuronen-Goowin		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff are not ensuring that facility is free of pests.

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above-mentioned complaint allegation. LPA introduced themselves and disclosed the purpose of the visit and elements of the complaint to Executive Director Tia Suuronen-Goodwin.

On 04/08/2026, it was alleged that facility staff are not ensuring that facility is free of pests. The department's investigation consisted of interviews and records review.

Regarding the allegation, staff interviews reported that an incident with a rodent entering the facility has occurred. Staff additionally reported that they have seen occasional cockroaches, and pests inside resident rooms. Maintenance staff confirmed recent rodent and cockroach activity inside the building. Staff consistently stated that pest control is contacted when pests are observed, but acknowledged that pests continue to appear intermittently. Resident interviews further reported that pests have been present in some rooms. (Cont. on LIC 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

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 5

Control Number 08-AS-20260408125632

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: CLOISTERS OF THE VALLEY, LLC	FACILITY NUMBER: 374604267
	VISIT DATE: 04/13/2026

NARRATIVE

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(Cont. from LIC 9099)

Records review revealed pest control service invoices from February and March 2026 documenting treatment for crawling insects and rodents at the facility.

Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California code of Regulations, Title 22, is being cited on the attached LIC 9099D. A plan of correction was jointly developed with the licensee. An exit interview was conducted with Executive Director Tia Suuronen-Goodwin and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 08-AS-20260408125632

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: CLOISTERS OF THE VALLEY, LLC	FACILITY NUMBER: 374604267
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/13/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/01/2026 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	87303 Maintenance and Operation: “(a) The facility shall be clean, safe, sanitary…at all times.” This requirement was not met, as evidenced by:	1 2 3 4 5 6 7	The licensee agreed to provide additional training for housekeeping staff on proper sanitation procedures and best practices for preventing pest infestations. Documentation of staff training will be submitted to the LPA via email by the POC due date. In addition, the licensee agreed to continue maintaining monthly pest control services.
	8 9 10 11 12 13 14	Based on records and interviews, Licensee did not ensure the facility was clean and sanitary at all times. This posed a potential health and safety risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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
04/08/2026 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20260408125632

FACILITY NAME:	CLOISTERS OF THE VALLEY, LLC		FACILITY NUMBER:	374604267
ADMINISTRATOR:	DISHA FRANCES-HALL		FACILITY TYPE:	740
ADDRESS:	4171 CAMINO DEL RIO SOUTH		TELEPHONE:	(619) 283-2226
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92108
CAPACITY:	70	CENSUS: 64	DATE:	04/13/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Executive Director Tia Suuronen-Goowin		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff do not ensure facility is kept clean.

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above-mentioned complaint allegation. LPA introduced themselves and disclosed the purpose of the visit and elements of the complaint to Executive Director Tia Suuronen-Goodwin.

On 04/08/2026, it was alleged that Facility staff do not ensure facility is kept clean. The department's investigation consisted of LPA observations, interviews, and records review.

Regarding the allegation, interviews with staff described routine daily cleaning practices throughout the facility. Housekeeping staff reported cleaning resident rooms every day with periodic deep cleaning, and staff stated that deep cleaning is scheduled routinely and that staff respond promptly to any areas needing additional attention. Staff consistently reported that housekeeping maintains regular cleaning schedules and that the facility is generally kept clean. Several residents stated that housekeeping cleans their rooms daily and that the facility is well maintained. (Cont. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 08-AS-20260408125632

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: CLOISTERS OF THE VALLEY, LLC	FACILITY NUMBER: 374604267
	VISIT DATE: 04/13/2026

NARRATIVE

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(Cont. from LIC 9099)

LPA observed the facility to be clean, and free of pests, hazards or debris during the visit. LPA also observed housekeeping staff actively performing cleaning duties throughout common areas.

A records review of the facility’s housekeeping logs for December 2025 showed detailed daily cleaning tasks, including routine cleaning of resident rooms and common areas. Although housekeeping documentation was later discontinued due to workload, available records support that structured cleaning practices were in place.

Based on staff and resident interviews, direct observations, and records review, there is insufficient evidence to support that the facility is not kept clean. Therefore, the allegation is found to be unsubstantiated. An exit interview was conducted with Executive Director Tia Suuronen-Goodwin and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 5