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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604477
Report Date: 06/11/2025
Date Signed: 06/11/2025 06:14:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/07/2025 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20250207110524
FACILITY NAME:SCARLETT'S CAREFACILITY NUMBER:
374604477
ADMINISTRATOR:SORENSON, BRADLEYFACILITY TYPE:
735
ADDRESS:1024 NEPTUNE DRIVETELEPHONE:
(619) 500-5339
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:4CENSUS: 3DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
05:25 PM
MET WITH:Manager Rzecore "Crown" SorensonTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Licensee’ staff did not meet reporting requirements for incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver a finding regarding the above prior complaint allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Manager Rzecore "Crown" Sorenson.

The Complainant alleged that Licensee did not meet reporting requirements for an incident involving Client #1 (C1). [See LIC 811 Confidential Names List for a description of select person identifiers used in this report.] CCLD’s investigation involved unannounced facility tours, welfare check on C1, review of relevant care records, and interviews of multiple pertinent staff and outside sources.


[CONTINUED ON LIC 9099-C]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
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 6
Control Number 08-AS-20250207110524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SCARLETT'S CARE
FACILITY NUMBER: 374604477
VISIT DATE: 06/11/2025
NARRATIVE
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[CONTINUED FROM LIC 9099]

Per their latest LIC602 Physician’s Report, C1 was diagnosed with Down Syndrome and was only “minimally verbal.” C1’s limited verbal skills were echoed in their San Diego Regional Center (SDRC) Individual Program Plan (IPP) and quarterly behavioral assessment. LPA attempted to interview C1 but was unable to qualify them as a reliable historian/interviewee.

The Complainant claimed that S1 was driving C1 on 12/15/2024 when they were involved in a slow-speed car accident. Per interview of Staff #1 (S1): S1 confirmed that on 12/15/2024, they were driving a car with C1 as a passenger. While they were idling at a stoplight, S1 reached to turn off the car’s air conditioning, but instead accidentally pushed the button that turns off the car’s engine. S1’s car then rolled back and bumped into the car behind them. Prior to CCLD’s complaint investigation, S1 had not reported the incident to facility management.

Although there was no injury to C1, this unusual incident involving C1 was required to be reported to C1’s responsible person (RP), SDRC, and CCLD. These parties were not notified until after this complaint investigation was initiated.

Based on available records and interviews, a preponderance of evidence exists to show that Licensee did not meet reporting requirements for this incident. The allegation is therefore Substantiated, and one (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Plans of Correction was jointly developed with the Licensee.

An exit interview was conducted with Manager Rzecore "Crown" Sorenson, to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 08-AS-20250207110524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SCARLETT'S CARE
FACILITY NUMBER: 374604477
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/11/2025
Section Cited
CCR
80061(b)(1)(E)
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80061 Reporting Requirements: “(b) Upon the occurrence…of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report…shall be submitted to the licensing agency within seven days… (1) Events reported shall include the following: (E) Any unusual incident… which threatens the physical or emotional health or safety of any client.” This requirement was not met, as evidenced by:
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As of the date of deficiency issuance, the incident in question has been reported to C1’s responsible person, C1’s SDRC coordinator, and to CCLD. Licensee has met and counseled S1 about the incident. These actions resolved the deficiency. The Plan of Correction is Satisfied.
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Records and interviews showed 1 of 3 clients (C1) was part of an incident which threatened their physical or emotional health or safety, but Licensee did not report it to the licensing agency within the next working day and did not submit a written report to the licensing agency within seven days. This posed a potential health risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/07/2025 and conducted by Evaluator Dang Nguyen
COMPLAINT CONTROL NUMBER: 08-AS-20250207110524

FACILITY NAME:SCARLETT'S CAREFACILITY NUMBER:
374604477
ADMINISTRATOR:SORENSON, BRADLEYFACILITY TYPE:
735
ADDRESS:1024 NEPTUNE DRIVETELEPHONE:
(619) 500-5339
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:4CENSUS: 3DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
05:25 PM
MET WITH:Manager Rzecore "Crown" SorensonTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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-Licensee did not protect client from spoiled food.
-Licensee’s staff did not treat client with dignity.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Manager Rzecore "Crown" Sorenson.

The Complainant alleged that Licensee did not protect Client #1 (C1) from spoiled food and that Licensee’s staff (S1) did not treat C1 with dignity. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report.] CCLD’s investigation involved unannounced facility tours, welfare check on C1, review of relevant care records, and interviews of S1 and multiple pertinent staff and outside sources.

[CONTINUED ON LIC 9099-C, 1 of 2]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 08-AS-20250207110524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SCARLETT'S CARE
FACILITY NUMBER: 374604477
VISIT DATE: 06/11/2025
NARRATIVE
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[CONTINUED FROM LIC 9099-A]

Per their latest LIC602 Physician’s Report, C1 was diagnosed with Down Syndrome and was only “minimally verbal.” C1’s limited verbal skills were echoed in their San Diego Regional Center (SDRC) Individual Program Plan (IPP) and quarterly behavioral assessment. LPA attempted to interview C1 but was unable to qualify them as a reliable historian/interviewee.

Interviews showed: While there were some past occasions when meats past their printed expiration date were self-identified by facility staff and thrown out, said meats were found exclusively from facility’s freezer located in the garage, and not from the facility’s refrigerator. They were frozen solid at time of discarding and there is no evidence that they were physically contaminated in practice. All staff and outside sources denied knowing of any client getting sick from facility food. C1’s housemates, Client #2 (C2) and Client #3 (C3), who were able to be qualified as reliable historians/interviewees, both denied being served spoiled food during their time at the facility or getting food poisoning.

The Complainant claimed that C1 had gotten sick with food poisoning during December 2024 because of the alleged violation. A prior Special Incident Report (SIR), which Licensee had self-submitted to CCLD back on 12/16/2024, showed that facility staff indeed arranged for C1 to be transported to the hospital on 12/15/2024 for fever, cough, and vomiting. However, hospital records showed that C1 was diagnosed with fever and sepsis secondary to pneumonia during that encounter. There was nothing in the medical records to indicate or suggest that C1 had eaten spoiled food.

During his own site visits, LPA inspected the facility’s refrigerator and freezer, finding that both appliances were maintaining the required temperatures, respectively. LPA also did not observe spoiled or expired food, or food unsafely stored.

Furthermore, the Complainant claimed that S1 was driving C1 on 12/15/2024 when they were involved in a slow-speed car accident. Although it did not involve physical injury to either person, the Complainant said C1 was emotionally shook/upset by it afterward, and that S1 then laughed at and taunted C1’s reaction to the event.

[CONTINUED ON LIC 9099-C, 2 of 2]
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 08-AS-20250207110524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SCARLETT'S CARE
FACILITY NUMBER: 374604477
VISIT DATE: 06/11/2025
NARRATIVE
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[CONTINUED FROM LIC 9099-C, 1 of 2]

S1 confirmed to CCLD that on 12/15/2024, they were driving a car with C1 as a passenger. While they were idling at a stoplight, S1 reached to turn off the car’s air conditioning, but instead accidentally pushed the button that turns off the car’s engine. S1’s car then rolled back and bumped into the car behind them. Both drivers got out and spoke with each other, then parted ways. However, S1 denied laughing at or making fun of C1 following the event.

LPA interviewed third-party credible witness who accompanied S1 and C1 following the 12/15/2024 car incident. This witness denied seeing S1 laugh at or mock C1.

Interviews of C2 and C3 confirmed neither had complaints/concerns regarding their own interactions with S1.
Based on available records and interviews, a preponderance of evidence does not exist to show that Licensee did not protect client from spoiled food or that Licensee’s staff did not treat client with dignity. Both allegations are therefore Unsubstantiated, and no deficiencies were cited for them.

An exit interview was conducted with Manager Rzecore "Crown" Sorenson, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6