374604384-4-15-2026-08-AS-RCLK-DTN84L-20260430221120

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604384
Report Date: 04/14/2026
Date Signed: 04/15/2026 02:57:39 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
12/15/2025 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20251215114537

FACILITY NAME:	JOSEPHINE'S HOME 2		FACILITY NUMBER:	374604384
ADMINISTRATOR:	TESTADO, IRENEA		FACILITY TYPE:	735
ADDRESS:	1452 MULLIGAN HILL ST		TELEPHONE:	(619) 796-7145
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	4	CENSUS:	DATE:	04/14/2026
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Licensee Josefine So		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not seek timely medical care for resident resulting in hospitalization.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced follow-up complaint investigation visit to deliver findings. LPA Silveira explained the purpose of the visit and was granted entry into the facility by Back-up Administrator Precious Lacdon. Licensee Josefina So arrived shortly after.

The Department’s investigation consisted of observations, interviews and a records review. On December 15, 2025, it was alleged that staff did not seek timely medical care for Client #1 (C1), resulting in hospitalization. Specifically, it was alleged that staff did bring C1 to the hospital Emergency Room when requested by the doctor.

A Department review of C1’s medical report revealed that C1 has a rare genetic disorder. A review of facility records revealed that C1 has been in an out of doctor’s appointments for approximately two months due to health issues. (CONTINUED ON NEXT PAGE, LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

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-20251215114537

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: JOSEPHINE'S HOME 2	FACILITY NUMBER: 374604384
	VISIT DATE: 04/14/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(CONTINUED FROM PAGE 1, LIC 809)
A Department interview with the Licensee also revealed that C1 suffers from kidney issues, which cause fluid retention and fluctuating sodium levels. In 2008 a shunt was inserted into C1’s body to drain fluid from the body, which requires regular monitoring for infection. The Licensee stated that approximately 1-2 months ago they observed that C1 was not acting themselves and have been in constant contact with C1's doctor due to these issues. C1 had to visit the hospital on more than one occasion in the last few weeks due to these issues.

An interview with Outside Source #1 (OS1) from C1 doctor’s intake department revealed that the Licensee “goes out of their way” to communicate with the doctor and schedule appointments for C1. The interview also revealed that the Licensee follows-up immediately when C1 needs care and advocates for C1. An interview with Outside Source #2 (OS2), who advocates for C1, also revealed that there are no concerns regarding the care C1 receives at the facility. OS2 stated that they believe C1 receives good care at the facility.

An interview with the Licensee and the Back-up Administrator revealed that the day the doctor's office called the facility, on December 12, 2025, the Licensee had fallen and hurt themselves, which caused a slight delay in transporting C1 to the hospital ER. The Back-up Administrator, who is also a registered nurse, also stated that C1 was acting at baseline and they did not observe anything out of the ordinary with C1. C1 was transported to the hospital the morning of December 14, 2025. Finally, a Department interview conducted with a hospital representative where C1 had been admitted for monitoring revealed that C1’s sodium levels were checked and determined to be good on December 14, 2025. C1 was admitted to the hospital to monitor their sodium levels. There was not enough evidence to corroborate this allegation.

Due to a lack of corroborating evidence, the allegation that staff did not seek timely medical care for C1, resulting in hospitalization, is unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore, the allegations are unsubstantiated.

An exit interview was conducted with Licensee Josefina So. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) was provided. The signature below confirms the receipt of these documents.

***NOTE: LPA left the facility for a one hour lunch break, to make outside phone calls and to generate this report. LPA returned to the facility to deliver findings.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2