374604298-6-9-2025-08-AS-SJAB-DHTQ5Z-20250620115246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604298
Report Date: 06/09/2025
Date Signed: 06/09/2025 12:21:52 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
06/06/2025 and conducted by Evaluator Dang Nguyen

COMPLAINT CONTROL NUMBER: 08-AS-20250606125123

FACILITY NAME:	MACKENZIE CARE HOME		FACILITY NUMBER:	374604298
ADMINISTRATOR:	PREECE, RAQUEL		FACILITY TYPE:	735
ADDRESS:	2487 MACKENZIE CREEK R		TELEPHONE:	(619) 752-9851
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91914
CAPACITY:	4	CENSUS: 4	DATE:	06/09/2025
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Licensees Raquel Preece and Derek Hampton and DSP Brooke Preece-Hampton		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Licensee did help client maintain personal hygiene.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to commence a Complaint Investigation regarding the above allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensees Raquel Preece and Derek Hampton.

The Complainant alleged that Licensee did help Client #1 (C1) maintain personal hygiene. [See LIC811 Confidential Names List for a description of C1.] CCLD’s investigation involved an unannounced facility tour/welfare check, review of pertinent care records, and interviews of relevant facility staff. LPA also met with and interviewed C1 on multiple days.

[CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025

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-20250606125123

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: MACKENZIE CARE HOME	FACILITY NUMBER: 374604298
	VISIT DATE: 06/09/2025

NARRATIVE

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[CONTINUED FROM LIC 9099]

According to C1’s latest LIC602 Physician’s Report: C1 was diagnosed with intellectual disability but was also ambulatory, able to follow instructions, and able to communicate their needs. Their doctor determined that C1 was able to bathe themselves, able to dress/groom themselves, and able use the bathroom by themselves. It was also written that C1 was fully continent of bowel and bladder. According to C1’s San Diego Regional Center (SDRC) Individual Program Plan (IPP), C1 was “able to complete self-care tasks without assistance” but benefited from verbal prompts/reminders from staff.

Interviews of C1 and multiple staff unanimously showed: C1 was more of a “night-person” than a “morning-person.” C1 was indeed physically and cognitively capable of performing their own grooming, dressing, and bathing tasks, requiring only staff reminders, at most. Staff consistently provided these reminders to C1 (i.e., reminders to brush teeth in both the mornings and evenings, and reminders to bathe at night). In practice, C1 sometimes chose not to brush their teeth in the morning but brushed their teeth every night. C1 also consistently showered and changed into fresh clothes every night.

LPA interviewed C1 on both 02/21/2025 and 06/09/2025, respectively. On both dates: C1 had their eyeglasses on, was in clean clothing free of stains, and had a cleanly washed face. C1 had reasonably clean-looking teeth; LPA did not detect any bad breath. C1 had no detectable body odor. LPA also met and spoke with multiple of C1’s housemates/peers on these dates; LPA had no concerns regarding their personal hygiene.

Based on records and interviews, a preponderance of evidence does not exist to show that Licensee did help client maintain personal hygiene. This allegation is therefore Unsubstantiated, and no deficiency was cited for it.

Since Licensees Raquel Preece and Derek Hampton needed to attend an off-site appointment, they excused themselves part-way during LPA’s visit. LPA conducted the exit interview with DSP Brooke Preece-Hampton. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Licensee during today's visit.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025

LIC9099 (FAS) - (06/04)

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