374604675-12-18-2025-08-AS-SJAB-DPTUQG-20251229144705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 12/18/2025
Date Signed: 12/18/2025 04:15:32 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
03/21/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250321094306

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:	12/18/2025
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:			TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility charged resident for care services which were not provided
Facility staff did not provide food service to meet residents preferences
Facility staff did not provide assistance to resident
Facility was in disrepair

INVESTIGATION FINDINGS:

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LPA Rodgers conducted an unannounced visit to the facility to further investigate and deliver findings regarding the above complaint allegations. The visit was conducted via email with Executive Director Chris Neale.

The Department’s investigation included unannounced facility visits, interviews with facility staff, residents, and outside sources, as well as a review of facility records.

On March 21, 2025, the Community Care Licensing Division (CCLD) received a complaint alleging the above. It was alleged that the facility charged Resident #1(R1) for care services that were not provided, did not provide food service to meet residents’ preferences, did not provide assistance to the resident, and was in disrepair. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.
(Continued on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025

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

Control Number 08-AS-20250321094306

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: 12/18/2025

NARRATIVE

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(Continued from LIC9099) (Page 2 of 3)

It was alleged that Resident #1 (R1) was charged for Level 1 care services from October 30, 2024, through February 2025, despite a cancellation request from R1’s Responsible Person. The Department records review revealed that on October 15, 2025, R1's Responsible Person was informed of a change in R1’s contracted services, effective October 13, 2025, to Level 1 care with bathing assistance up to 3(three) times weekly, as documented in the Resident Change Form. R1 was assessed for a change in condition, and the Change Form was presented to R1's Responsible Person.
Staff interviews confirmed that although the Responsible Person disputed the charges and did not pay for Level 1 care from October 2024 through May 2025, services continued per the care plan to support R1’s health and safety. Interviews with other residents indicated similar services were consistently provided.

It was further alleged that meals were delivered late, cold, incomplete, and did not meet R1's preferences. Department interviews revealed the facility had implemented changes to reduce tray service and promote communal dining. Resident interviews revealed satisfaction with meal quality and timeliness, including room service, and understood trays were delivered after dining room service concluded. The department interviews with the Food Service Director revealed the availability of dietary accommodations, including alternative menus and individualized counseling. The department staff interviews and records further revealed that missed meals were tracked, and efforts were made to ensure proper food temperature. The Resident Handbook outlined structured mealtimes and flexible room service policies. The department observations confirmed clean kitchen conditions, posted dietary notes, and active meal preparation.

It was further alleged that staff failed to assist R1 after a courtyard fall and missed scheduled showers. No documentation of the fall was found, and R1 was unavailable for interview, having moved out without providing contact information. The direct staff witness was also unavailable. Regarding missed showers: The department interviewed with staff revealed R1 was scheduled for twice-weekly showers and offered additional assistance. However, R1’s shower/grooming logs were unavailable. The department records reviews reveal that for current residents, showed consistent service provision, and staff were observed actively assisting residents during the Department’s visit. Based on available evidence, the Department determined the allegation was not substantiated.

(Continued on LIC9099C)

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 08-AS-20250321094306

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: 12/18/2025

NARRATIVE

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(Continued form LIC9099C) (Page 3 of 3)

It was further alleged that the facility is in disrepair. More specifically, R1’s toilet overflowed on January 23, 2025, flooding the room without proper sanitization; multiple leaks were reported; and a courtyard crack caused a fall. Department interviews and records review revealed the flooding was promptly addressed by maintenance, and a SERVPRO inspection found no elevated moisture or microbial growth. R1 was temporarily relocated during repairs and ventilation. The department interviewed resident and revealed residents consistently reported that maintenance issues, when brought to the attention of staff, are addressed promptly and effectively Department observations during multiple site visits confirmed clean, well maintained common areas and no evidence of major cracks in community pathways.

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

An exit interview was conducted with Executive Director via email. A copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided to both via E-mail.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025

LIC9099 (FAS) - (06/04)

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