374604454-6-29-2026-08-AS-JROO-DVMN5B-20260703100916

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604454
Report Date: 06/29/2026
Date Signed: 06/29/2026 03:00:56 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
06/11/2024 and conducted by Evaluator Becky Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20240611161835

FACILITY NAME:	HUNTINGTON MANOR		FACILITY NUMBER:	374604454
ADMINISTRATOR:	DERAFERA, TESS		FACILITY TYPE:	740
ADDRESS:	14755 BUDWIN LN		TELEPHONE:	(858) 748-3381
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	21	CENSUS: 18	DATE:	06/29/2026
		UNANNOUNCED	TIME BEGAN:	01:46 PM
MET WITH:	Lynn Drummond		TIME COMPLETED:	03:17 PM

ALLEGATION(S):

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Unlawful eviction
Staff are retaliating against resident
Staff are not meeting residents needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Becky Kennedy conducted an unannounced complaint visit to the facility to deliver findings on the above allegations. LPA was granted entry to the facility by Lynn Drummond, Cheif Operating Officer after identifying herself and explaining the reason for the visit.
The Department’s investigation consisted of a tour of the facility, review of facility records, and interviews of facility staff and outside sources.

It was alleged that the resident was evicted from the facility unlawfully. The investigation revealed that on 5,10,2024 an email was sent to the family of a Resident 1 (R1) that appeared to be a 30-day notice of eviction. The investigation did not reveal any reappraisal in support of the eviction. Interviews did not reveal any additional information about the email or what happened afterword. The investigation did reveal that R1 continued to reside at the facility beyond 30 days following the email and was residing at the facility at least as late as 9-15-24.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jerry Romero
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026

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-20240611161835

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: HUNTINGTON MANOR	FACILITY NUMBER: 374604454
	VISIT DATE: 06/29/2026

NARRATIVE

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Although the email that appeared to be on the surface an eviction notice, no eviction was pursued. This allegation is Unsubstantiated.

It was further alleged that the eviction was in retaliation for the family expressing their concerns regarding the care R1 was provided. As R1 was not evicted this allegation is also Unsubstantiated.

Lastly it was alleged that the facility staff are not meeting R1's needs. Interviews revealed that R1 was challenging to care for due to R1’s behaviors. Interviews revealed that despite R1’s behaviors, care was provided to R1. This allegation is Unsubstantiated.

Based on the evidence obtained during the complaint investigation, the allegations above are UNSUBSTANTIATED, meaning there isn’t enough evidence to prove a violation occurred.

An exit interview was conducted at the conclusion of the visit, A copy of this report and licensee rights are left at the facility.

SUPERVISORS NAME: Jerry Romero
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026

LIC9099 (FAS) - (06/04)

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