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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604377
Report Date: 07/11/2025
Date Signed: 07/11/2025 11:18:41 AM

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
04/03/2025 and conducted by Evaluator Hannah Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250403161620
FACILITY NAME:A MISSION FOR MICHAELFACILITY NUMBER:
374604377
ADMINISTRATOR:CONCEPTION, KRISTIANFACILITY TYPE:
772
ADDRESS:6477 GOLDENBUSH DRIVETELEPHONE:
(949) 371-3857
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:6CENSUS: DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Executive Director Anand Mehta and Administrator Kristian ConcepcionTIME COMPLETED:
11:20 PM
ALLEGATION(S):
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Staff did not follow infection control guidelines
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hannah Rodgers conducted a virtual visit, via video conference, to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Anand Mehta and Administrator Kristian Concepcion.

On April 3, 2025, it was alleged that staff did not follow infection control guidelines. It was alleged that Client #1 (C1) tested positive for a respiratory virus and C1 did not isolate, nor was there masks at the facility for staff and clients to wear [See LIC811 Confidential Name List for identification of select person identifiers used in this report]. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, clients, and outside source interviews.


(CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
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-20250403161620
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: A MISSION FOR MICHAEL
FACILITY NUMBER: 374604377
VISIT DATE: 07/11/2025
NARRATIVE
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During the investigation, interviews revealed that clients were asked to social distance and C1 was asked to isolate. Records reviewed and interviews revealed that the facility’s isolation policy sets an isolation period of five days. Reviews of records also revealed that C1 was given hourly temperature checks to establish C1 did not have a fever. Interviews with staff and clients did not reveal that there were no masks on site and social distancing was not instructed. During LPA’s visit they observed masks and disinfectant products at the facility.

Based on interviews, direct LPA observations and records review, the investigation did not yield a preponderance of evidence to conclude that staff did not follow infection control guidelines. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Executive Director Anand Mehta and Administrator Kristian Concepcion. , to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided via electronic mail. An electronic read receipt confirmation was requested to be sent by the Executive Director Mehta and Administrator Concepcio upon receipt of the documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
LIC9099 (FAS) - (06/04)
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