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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604675
Report Date: 03/13/2025
Date Signed: 03/14/2025 08:11:15 AM

Document Has Been Signed on 03/14/2025 08:11 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:GROSSMONT GARDENS SENIOR LIVINGFACILITY NUMBER:
374604675
ADMINISTRATOR/
DIRECTOR:		JONES, REGINALDFACILITY TYPE:
740
ADDRESS:5480 MARENGO AVETELEPHONE:
(619) 463-0281
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY: 425TOTAL ENROLLED CHILDREN: 0CENSUS: 369DATE:
03/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Health Service Director, Stephanie Scudder TIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Case Management - Incident. LPA met with Health Service Director, Stephanie Scudder and Executive Director, Reginald Jones.

Community Care Licensing received a self reported incident involving Resident #1 (R1). The incident report indicated R1 reported on 03/04/25 that back in October of 2024, R1 wrote a $400.00 check to a Grossmont Gardens caregiver. R1 stated the money given was a loan and the caregiver agreed to pay R1 back once they received their paycheck. R1 reached out to the caregiver but unable to connect. The caregiver no longer works at the facility as was terminated on 10/28/2024. The Executive Director explained not having knowledge the caregiver accepted money from the resident. The ED will have staff trained regarding accepting monetary gifts.

No deficiencies were issued today. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Health Service Director, Stephanie Scudder whose signature below confirms receipt of these rights.
Robyn ClarkTELEPHONE: (619) 767-2312
Natasha PersaudTELEPHONE: (619) 301-3594
DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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