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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604317
Report Date: 09/17/2025
Date Signed: 09/17/2025 02:16:17 PM

Unsubstantiated


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
04/09/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250409113156
FACILITY NAME:NOR LIVING 2 LLCFACILITY NUMBER:
374604317
ADMINISTRATOR:GEORGE, AYADFACILITY TYPE:
735
ADDRESS:1950 AVON LANETELEPHONE:
(619) 335-0566
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 6DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ayad George, AdministratorTIME COMPLETED:
01:54 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent resident from having access to medications
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Ayad George, Administrator

LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on April 16, 2025 and conducted a tour of the facility.

It was alleged that staff did not prevent resident from having access to medications. Interviews revealed that staff lock all medications and that the clients do not have access to the medications and only take the medications that the staff give them that the doctors have prescribed. Interviews revealed that Client 1 (C1) has a tendency to not tell the truth. Interviews revealed that C1 was boasting about taking medications. Interviews revealed that the client was not left alone to be able to get drugs or take any medications. When C1 takes their medications the staff observe and make sure all medications have been swallowed. Interviews with outside sources revealed that C1 was given a drug test and the test showed negative for any of the medications C1 stated they took. Interviews with outside source also revealed that C1 admitted to not telling the truth about the incident and stated they did not know why they made up the story.

The Department has investigated the above-mentioned allegation and based on interviews, LPA observations, outside source interviews and records review, it was determined that the complaint allegation us Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Ayad George, Administrator via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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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