374604446-5-22-2026-08-AS-APAO-DW94X7-20260722192905

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604446
Report Date: 05/22/2026
Date Signed: 05/22/2026 05:03:42 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
02/18/2026 and conducted by Evaluator Jose DeLaCruz

COMPLAINT CONTROL NUMBER: 08-AS-20260218114459

FACILITY NAME:	ABIGAIL'S HOMES IV		FACILITY NUMBER:	374604446
ADMINISTRATOR:	GONZALEZ, BRENDA A		FACILITY TYPE:	735
ADDRESS:	1066 MOUNT DANA DRIVE		TELEPHONE:	(619) 349-2551
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	4	CENSUS: 2	DATE:	05/22/2026
		UNANNOUNCED	TIME BEGAN:	04:40 PM
MET WITH:	Caregiver Enrique Cruz		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Staff not arranging medical care appropriate to resident conditions/needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced visit regarding the above mentioned allegation. LPA was greeted and granted entry by caregiver (S1), to whom he identified himself and explained the purpose of the visit.

LPA contacted Reporting Party (RP) on February 24, 2026, who alleged that staff was not arranging appropriate medical care for residents. The Reporting Party (RP) alleged that four residents (C1, C2, C3 and C4) had called 911 more than 80 times in the past year for non emergency reasons and claimed staff were using emergency services to perform staff responsibilities.

[CONTINUED FROM LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

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 08-AS-20260218114459

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: ABIGAIL'S HOMES IV	FACILITY NUMBER: 374604446
	VISIT DATE: 05/22/2026

NARRATIVE

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[CONTINUED FROM LIC9099]

On February 24, 2026, LPA interviewed RP, visited the facility, interviewed staff (S1) and a client (C1), reviewed facility records, and examined a call log report provided by RP.

Similar information was obtained in prior unrelated investigations involving staff ( S1, S2) and clients (C1, C2, and C3) as well as records reviewed. In a prior interview with S1, it was found that C4 has not been a resident for over a year, and C3 has an ongoing medical condition requiring legitimate medical attention.

Regarding C1 and C2, both have a documented history of attention seeking behaviors related to requesting hospital transport. This documentation includes complaints and incident reports sent to the department. On February 25, 2026, during an interview with C1, they admitted calling 911 out of boredom. Staff (S1, S2) stated they are aware of these behaviors but cannot prevent clients from calling emergency services due to false statements or threats. S1 explained that they attempt to redirect clients and discourage unnecessary calls, but C1 and C2 often insist on requesting emergency services.

As an Adult Residential Facility (ARF), staff are not medically licensed and cannot make medical determinations beyond basic care. Denying a client access to emergency services could place the facility at risk of liability, even when calls appear unnecessary.

Based on interviews, records reviewed, and LPA observations, the preponderance of evidence standard was not met. Therefore, the allegation is unsubstantiated. No deficiencies were cited were cited in accordance with the California Code of Regulations.

Report and Appeal Rights discussed with and provided to Licensee. Signature below confirms receipt.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

LIC9099 (FAS) - (06/04)

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