374604368-3-27-2026-18-AS-RORN-DSQR5R-20260401124335

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604368
Report Date: 03/27/2026
Date Signed: 03/27/2026 03:39:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2023 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20231106113154

FACILITY NAME:	MERAKEY - AMPARO		FACILITY NUMBER:	374604368
ADMINISTRATOR:	JAZMIN ESPINOZA		FACILITY TYPE:	737
ADDRESS:	479 AMPARO DRIVE		TELEPHONE:	(442) 277-4554
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	4	CENSUS: 4	DATE:	03/27/2026
		UNANNOUNCED	TIME BEGAN:	09:24 AM
MET WITH:	Jacqualine Thomas		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff mishandled a client's medication while in care
Staff did not ensure a client attended a scheduled medical appointment

INVESTIGATION FINDINGS:

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On March 27, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegation and to deliver findings. The Department was met by Jacqualine Thomas Program Administration and the purpose of the visit was explained.

Investigation consisted of the following:
On November 8, 2023, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On March 27, 2026, the Department obtained the following documents: staff roster (dated: 3/1/26 ), client roster (dated 10/1/24), C1’s Individual Service Plan (dated 1/14/25 ), Admission Agreement ( 11/19/23) Physician’s report ( 11/1/23 ), The department interviewed Administrator (A1), and 2 staff (S3-S4 ),

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

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 18-AS-20231106113154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERAKEY - AMPARO	FACILITY NUMBER: 374604368
	VISIT DATE: 03/27/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff mishandled a client's medication while in care

The detail of the complaint alleges that C1’s mother asked facility staff if C1’s medication was given and there was no response until the next day.

On March 27, 2026, at 1:42pm the Department interviewed Administrator (A1), who stated that she was not employed with the company during time of the complaint, however she can say with certainty that the medications are given on time and as directed.

On March 27, 2026, between 2:00pm and 3:00pm, the Department interviewed 2 staff (S3-S4) regarding the allegation. Of those interviewed, 2 out of 2 staff denied the allegation stating that staff did not mishandle C1’s medication while in care. Additionally, both staff stated that medication is given on time and as directed. Lastly, 2 out of 2 staff stated that they audit the Medication Administration Record (MAR) for completeness and timeliness.

On November 8, 2023, the department interviewed 2 staff (S1-S2) regarding the allegation. 2 out of 2 denied the allegation of staff mishandling C1’s medication while in care. It was revealed that the medication was given as directed, however it was not conveyed to C1’s mother when she requested the information, resulting in mis-communication.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20231106113154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERAKEY - AMPARO	FACILITY NUMBER: 374604368
	VISIT DATE: 03/27/2026

NARRATIVE

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On March 27, 2026, the Department reviewed and evaluated the following documents: staff roster (dated: 3/1/26 ), client roster (dated 10/1/24), C1’s Individual Service Plan (dated 1/14/25 ), November MAR (November 2023), Admission Agreement ( 11/19/23)

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation: Staff did not ensure a client attended a scheduled medical appointment

The detail of the complaint alleges C1 missed a lab appointment because it wasn’t printed on the house schedule.

On March 27, 2026, at 1:42pm the Department interviewed Administrator (A1), who stated that she was not employed with the company during time of the complaint and deferred to her colleagues (S3 and S4) on the matter at hand.

On November 8, 2023, the department interviewed C1’s responsible party who stated that there were some staffing issues which cause inconsistency with scheduling, however “now schedules would be updated on a regular basis from here on out…” The party responsible further stated that the lab appointment in question was not urgent and her son was able to attend it the next day.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 18-AS-20231106113154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERAKEY - AMPARO	FACILITY NUMBER: 374604368
	VISIT DATE: 03/27/2026

NARRATIVE

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On March 27, 2026, S3 and S4 stated that the reason why C1 missed appointment was due to an insurance issue rather than missing medication due to a scheduling error. S3 provided the department with email documentation that shows communication between herself and responsible party regarding this matter.

There were no deficiencies cited during today's visit. Exit interview conducted and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

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