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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 06/19/2025
Date Signed: 06/19/2025 08:33:18 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
05/30/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250530094445
FACILITY NAME:GROSSMONT GARDENS SENIOR LIVINGFACILITY NUMBER:
374604675
ADMINISTRATOR:TORINO, LYNNFACILITY TYPE:
740
ADDRESS:5480 MARENGO AVETELEPHONE:
(619) 463-0281
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:425CENSUS: 359DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Executive Director, Reginald JonesTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff are not allowing resident to choose their own physician
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the investigation regarding the above mentioned allegations. LPA met with Executive Director, Reginald Jones.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged staff are not allowing Resident #1 (R1) to choose their own physician. Outside source #1 (OS1) reported R1’s Primary Care Physician was no longer allowed to treat R1. R1 was placed on hospice services and the PCP was no longer treating R1, due to hospice agency using their own physician. R1 has a diagnosis of a Major Neurocognitive Disorder but was involved with decision making. R1’s Power of Attorney (POA) agreed to hospice services as they were told it would be extra help for R1. The POA’s interview confirmed not having knowledge that when a resident was placed on hospice, they no longer retain their PCP. Once POA was made aware residents could retain their PCP along with hospice services, they agreed to have R1 return to PCP. Continued on an LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Robyn ClarkTELEPHONE: (619) 767-2312
LICENSING EVALUATOR NAME: Natasha PersaudTELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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 2
Control Number 08-AS-20250530094445
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: GROSSMONT GARDENS SENIOR LIVING
FACILITY NUMBER: 374604675
VISIT DATE: 06/19/2025
NARRATIVE
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POA also explained that PCP was unresponsive and not assisting R1. Therefore, there were no issues with releasing PCP from R1’s care. Executive Director explained R1 and POA made the decision to chose hospice agency and not retain PCP. ED stated they were aware residents are allowed to retain their own PCP during hospice services. There was conflicting information provided by the hospice agency. All parties involved have been made aware of how hospice agency and PCPs are allowed to treat the resident simultaneously.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Reginald Jones whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]

SUPERVISOR'S NAME: Robyn ClarkTELEPHONE: (619) 767-2312
LICENSING EVALUATOR NAME: Natasha PersaudTELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2