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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 04/14/2026
Date Signed: 04/14/2026 04:44:19 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
04/08/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260408163041
FACILITY NAME:GROSSMONT GARDENS SENIOR LIVINGFACILITY NUMBER:
374604675
ADMINISTRATOR:NEALE, CHRISTOPHERFACILITY TYPE:
740
ADDRESS:5480 MARENGO AVETELEPHONE:
(619) 463-0281
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:425CENSUS: DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Chris Neale, Executive DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not assisting resident with showering
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to the facility to deliver findings on the above‑mentioned allegation. LPA gained access to the facility, identified themselves, and met with Chris Neale to discuss the purpose of the visit.
LPA conducted interviews with a resident , facility staff, and reviewed relevant resident records.
On April 8, 2026, the Community Care Licensing Division (CCLD) received a complaint alleging staff are not assisting the resident with showering. More specifically, Resident #1 (R1) reported being unable to shower or wash their independently due to physical limitations and shoulder pain.
R1 has physical limitations and, according to the Assessment/Care Plan dated 11/04/2025, R1 is to receive standby assist for showering, reminders for dressing, and is listed as independent with grooming. The care plan does not list transfer assistance. The Physician’s Report dated 10/09/2025 indicates that R1 is capable of completing self care tasks slowly and that additional help is welcomed but not required.
Department interviews with R1 reveal never informing management about needing additional help and believed bathing assistance was included in their contract. Some staff interviews reported that R1 often requires more help than standby assist and stated they assisted R1 when requested. A review of records did not show documentation of staff refusing assistance or prior concerns reported to the facility.
Based on interviews, direct LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred; therefore, the allegation is UNSUBSTANTIATED.
An exit interview was conducted with Executive Director Chris Neale, and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
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
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
04/08/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260408163041

FACILITY NAME:GROSSMONT GARDENS SENIOR LIVINGFACILITY NUMBER:
374604675
ADMINISTRATOR:NEALE, CHRISTOPHERFACILITY TYPE:
740
ADDRESS:5480 MARENGO AVETELEPHONE:
(619) 463-0281
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:425CENSUS: 397DATE:
04/14/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Chris Neale, Executive DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not administering medications as prescribed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to the facility to invistigate and deliver findings on the above mentioned allegation. LPA gained access to the facility, identified themselves, and met with Chris Neale, Executive Director to discuss the purpose of the visit.LPA conducted interviews with the resident and facility staff, and reviewed relevant records.
It was alleged that staff are not administering medications as prescribed. More specifically, the report alleged that Resident #1 (R1) was not woken for medication times and was required to locate the med tech to request doses that should have already been provided.
Interviews with R1 revealed that R1 self administers all medications, keeps medications in R1’s room, and does not receive medication assistance from staff. R1 denied ever reporting to anyone that the facility assists with medication administration.
Interviews with staff revealed that R1 is a self-medicating resident per physician orders and that staff do not administer medications to R1. Record review confirmed that the Physician’s Report (10/09/2025) authorizes R1 to self-administer medications and the Assessment/Care Plan (11/04/2025) identifies R1 as independent with medication management.
The investigation did not produce supporting evidence or supporting witness statements to substantiate the allegation that staff are not administering medications as prescribed. Based on the evidence obtained from interviews and records review, the complaint allegation is UNFOUNDED.
An exit interview was conducted with Chris Neale, Executive Director, and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2