374604675-7-31-2025-08-AS-SJAB-DK5MUY-20250801095555

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 07/31/2025
Date Signed: 07/31/2025 04:41:00 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
07/22/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250722083402

FACILITY NAME:	GROSSMONT GARDENS SENIOR LIVING		FACILITY NUMBER:	374604675
ADMINISTRATOR:	JONES, REGINALD		FACILITY TYPE:	740
ADDRESS:	5480 MARENGO AVE		TELEPHONE:	(619) 463-0281
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	425	CENSUS: 359	DATE:	07/31/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Health Services Director Lynn Torino		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff do not administer resident's medication as prescribed.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Amy Rodgers, conducted an unannounced inspection visit to initiate a complaint investigation. LPA was met by, granted entry into the facility and discussed the visit with by Health Services Director Lynn Torino and Health Services Director Stacy Tinoko.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, and residents. It was alleged staff do not administer resident #1(R1) medication as prescribed. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report.]

(Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Amy Rodgers	TELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025

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-20250722083402

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: 07/31/2025

NARRATIVE

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(continued form LIC9099)

During the investigation, the facility was briefly toured, records were reviewed, and interviews were conducted with staff and residents. It was alleged that staff do not administer resident #1(R1) medication as prescribed. R1 has a diagnosis of Type 2 Diabetes as well as hypertension. Staff interviews and records revealed that the facility is consistently performing blood glucose checks and administering insulin based on the results, in accordance with the physician's orders. Review of R1's medical records and staff interviews confirmed that glucose monitoring and medication administration are occurring routinely. R1 revealed during the interview that staff either conduct glucose checks at the nurses' station or come directly to them if needed. However, multiple staff interviews indicate that R1 has demonstrated inconsistent compliance with dietary recommendations, which may contribute to the elevated glucose levels.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed UNSUBSTANTIATED.

A copy of this report along with licensee rights was given to Health Services Director Lynn Torino whose signature below confirms receipt of these rights.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Amy Rodgers	TELEPHONE: 619-997-4108
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025

LIC9099 (FAS) - (06/04)

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