374604675-12-11-2025-08-AS-SJAB-DPMVXB-20251223154917

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 12/11/2025
Date Signed: 12/11/2025 04:01:20 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
01/21/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250121164109

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: 380	DATE:	12/11/2025
		UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:	Executive Director Chris Neale.		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Reporting requirements
Lack of staff to meet residents needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst LPA Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Chris Neale.

The department conducted interviews with facility staff, residents, and a resident’s family member, reviewed staffing schedules and time clock records, and conducted on-site observations.

On 1/21/2025, Community Care Licensing (CCL) received a complaint alleging that licensee staff failed to report the location of a resident to a responsible party. Resident #1(R1) sustained a fall on 1/18/25 and was initially scheduled to be transported to a specific hospital. Due to emergency medical routing protocols, R1 was redirected to a different hospital by EMS personnel. Facility documentation and staff interviews confirmed that the POA was notified of the incident and the initial hospital destination. Follow-up communication was documented, and there was no evidence that the facility failed to meet reporting requirements. (Continued on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

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-20250121164109

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: 12/11/2025

NARRATIVE

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(Continued from LIC9099)

It was further alleged, Lack of staffing to meet resident needs. More specifically, that the facility did not maintain adequate staffing levels, resulting in delays or deficiencies in resident care. Staff interview revealed that the facility maintains consistent staffing coverage across all shifts and staff are assigned to provide care and support to residents as scheduled. No concerns regarding staffing adequacy were expressed by facility personnel. Resident #1(R1) interview revealed that the resident was oriented to person and situation, reported being able to manage their own personal care needs, and stated she did not require assistance with showers or toileting. R1 expressed no concerns about staff and described them as kind and helpful. Outside source #1 (OS1) interview revealed that the R1 often refuses assistance from staff, particularly with showers and incontinence care. An indepth records review revealed that staffing schedules and time clock data for the relevant period were consistent with reported coverage and indicated that staff were present during all shifts. Outside Source two (OS2) as well well as other residents on the same floor as R1 do not express concerns regarding staffing LPA observations revealed No immediate concerns regarding staff responsiveness or resident care were observed during the site visit.

Based on interviews, and records review and department observations there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to ED Neale whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

LIC9099 (FAS) - (06/04)

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