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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604579
Report Date: 09/17/2025
Date Signed: 09/17/2025 04:11:12 PM

Substantiated


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
06/02/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250602082428
FACILITY NAME:HEALING ADULT GROUP CARE INC.FACILITY NUMBER:
374604579
ADMINISTRATOR:SAIF, SALLYFACILITY TYPE:
735
ADDRESS:3919 EL CANTO DR.TELEPHONE:
(248) 307-6966
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 6DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
03:19 PM
MET WITH:Sally Saif, AdministratorTIME COMPLETED:
03:58 PM
ALLEGATION(S):
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9
Staff are double/triple diapering resident
Staff left resident in soiled diapers
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
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13
Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Sally Saif, Administrator
LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on June 11, 2025 and conducted a tour of the facility.
It was alleged that staff are double/triple diapering resident and that staff left resident in soiled diapers. Interviews revealed that the clients are being double diapered because the staff didn't want them to get their beds wet. Interviews with staff revealed they admitted to double dipaering the clients. Interviews with clients revealed they have been doubled diapered as well. Interviews with outside sources revealed Client 1 (C1) has been observed at program to be soiled wet and doubled diapered. Interviews revealed that a few of the clients are non verbal and they cannot voice if they are soiled or not. Interviews with the administrator revealed that the clients should not have been double diapered or left in soiled diapers. Interviews revealed there are plenty of diapers for the clients to be changed. Interviews revealed they have an order of incontince supplies that come to the facility monthly such as adult diapers, wipes and disposable sheets.
The Department has investigated the above-mentioned allegations and based on interviews, LPA observations, and records review, it was determined that the complaint allegations are substantiated. The preponderance of evidence proved that the alleged violation occurred.

An exit interview was conducted with Adminsitrator Sally Saif via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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 3
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
06/02/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20250602082428

FACILITY NAME:HEALING ADULT GROUP CARE INC.FACILITY NUMBER:
374604579
ADMINISTRATOR:SAIF, SALLYFACILITY TYPE:
735
ADDRESS:3919 EL CANTO DR.TELEPHONE:
(248) 307-6966
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
03:19 PM
MET WITH:Sally Saif, AdministratorTIME COMPLETED:
03:58 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left resident in soiled clothing
Staff are not meeting residents incontinent needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Sally Saif, Administrator
LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on June 11, 2025 and conducted a tour of the facility.
It was alleged that staff left resident in soiled clothing and staff are not meeting residents incontinent needs. Interviews revealed that the clients are not being left in soiled clothing. Interviews with staff revealed the clients have dry clothes on when they leave for program. Interviews revealed the staff wake the cleints up and change their clothes for program. Interviews from the outside sourve revealed that

Interviews revealed they have an order of incontince supplies that come to the facility monthly such as adult diapers, wipes and dispavle sheets. LPA observation revealed that the storage of supplies is upstairs in the closet of all the supplies mentioned also downstairs in the office/garage.

The Department has investigated the above-mentioned allegations and based on interviews, LPA observations, and records review, it was determined that the complaint allegations are unsubstantiated. The allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred

An exit interview was conducted with Adminsitrator Sally Saif via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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 3
Control Number 08-AS-20250602082428
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: HEALING ADULT GROUP CARE INC.
FACILITY NUMBER: 374604579
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/03/2025
Section Cited
CCR
80077.4(b)(4)
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(b) If a licensee accepts or retains a client who has bowel and/or bladder incontinence, the licensee is responsible for all of the following:Ensuring that clients with incontinence are kept clean and dry, and that the facility remains free of odors. This requirment is not met as evidenced by:


1
2
3
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5
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7
Licensee will have either Relais Academy or the behavior consultant provide trainig for all staff on incontinence/hygiene/diapering. POC due to CCL by 10/3/2025. Training sign in sheet and materials due to CCL by POC date
8
9
10
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14
On or about 05/27/2025 staff were double/triple diapering clients in 1 out of 6 clients (C1). This poses a potentail health risk to residents
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Type B
10/03/2025
Section Cited
CCR
80072(a)(3)
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Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirment is not met as evidenced by:


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2
3
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Licensee will have either Relias Academy or behavior consultant provide trainig for all staff on personal rights. POC due to CCL by 10/3/2025.Training sign in sheet and materials due to CCL by POC date
8
9
10
11
12
13
14
On or about 05/27/2025 staff were double/triple diapering clients and not perfoming proper incontinence care on 1 out of 6 clients. This poses a potentail health risk to residents
8
9
10
11
12
13
14
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: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3