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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604336
Report Date: 05/07/2026
Date Signed: 05/07/2026 07:07:02 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
04/29/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260429150146
FACILITY NAME:COMPASSIONATE CARE FOR SENIORS 1FACILITY NUMBER:
374604336
ADMINISTRATOR:SARSAM, LAITHFACILITY TYPE:
740
ADDRESS:8100 BINNEY PL.TELEPHONE:
(619) 439-2006
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:6CENSUS: 5DATE:
05/07/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Laith SarsamTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee did not timely arrange medical care for resident.
Licensee did not give resident medication as prescribed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) conducted an unannounced visit to investigate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Administrator Laith Sarsam. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, outside sources, and records review.

On April 29, 2026, Community Care Licensing Division (CCLD) received a complaint alleging that the licensee did not timely arrange medical care for the resident and did not give the resident medication as prescribed, more specifically Resident #1 (R1) reported requesting medical attention for an extended period without receiving assistance and further reported experiencing long waits for pain medication at night.

(Continued on LIc9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
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 2
Control Number 08-AS-20260429150146
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: COMPASSIONATE CARE FOR SENIORS 1
FACILITY NUMBER: 374604336
VISIT DATE: 05/07/2026
NARRATIVE
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Department interviews with staff and residents report responding to resident needs throughout the day and night, stated they were unaware of delays in care, and confirmed medication was administered as prescribed. Department interviews with R1 revealed staff respond but not as quickly as desired.

Department interviews with outside sources reveal R1 has made similar complaints at previous facilities and confirmed this has been a pattern at multiple prior placement's due to R1's inability to be satisfied.
Department records review reveals the Medication Administration Record (MAR) and interviews with staff confirm all medications are being administered per physician prescription.
LPA observations reveal staff were present and responding to residents and medication systems and storage appeared to be in compliance.

Based on interviews, direct LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred; therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Administrator Laith Sarsam, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2