374604684-3-26-2026-08-AS-SJAB-DUFSVM-20260526141255

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604684
Report Date: 03/26/2026
Date Signed: 03/26/2026 06:58:45 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
03/20/2026 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20260320154428

FACILITY NAME:	GROSSMONT GARDENS MEMORY CARE		FACILITY NUMBER:	374604684
ADMINISTRATOR:	SCOTT-KAPLIOFF, ANGELA		FACILITY TYPE:	740
ADDRESS:	4960 MILLS STREET		TELEPHONE:	(619) 644-1100
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	64	CENSUS: 61	DATE:	03/26/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Executive Director Angela Scott-Kapiloff		TIME COMPLETED:	07:10 PM

ALLEGATION(S):

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Staff are not allowing resident to return to the facility
Staff are not communictaing with resident's authorized representatives

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to investigate and deliver findings regarding the above complaint allegations. LPA introduced self and explained the purpose of the visit to Executive Director Angela Scott-Kapiloff.

On March 20, 2026, Community Care Licensing Division (CCLD) received a complaint alleging that staff were not allowing Resident #1 (R1) to return to the facility and were not communicating with R1’s authorized representatives, causing confusion regarding whether the resident would be accepted back into the facility.

The Department’s investigation included interviews with facility staff, placement agency/responsible party, and a review of facility records.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026

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-20260320154428

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 MEMORY CARE	FACILITY NUMBER: 374604684
	VISIT DATE: 03/26/2026

NARRATIVE

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(Continued from LIC9099)

Department interviews with Staff #1(S1) revealed they reported having ongoing communication with R1’s authorized representative as well as R1’s placement agency. S1 stated the facility intended to reassess R1 prior to return and denied refusing the resident’s return. S1 reported speaking with R1’s attending physician regarding behavioral concerns and R1’s inability to take prescribed medication.

S1 stated they informed the hospital social worker that R1 would not be able to return at the current date due to these concerns per attending physician as follows: S1 explained that according to R1 attending physician R1 would require at least three additional weeks in behavioral health services, followed by potential placement at a skilled nursing facility to allow for injectable medication to support behavioral stabilization.

Department Interviews with Placement Agency / Responsible Party confirmed communication with S1 regarding R1’s behavioral concerns, medication non-compliance, and the anticipated need for continued behavioral health treatment. They also confirmed staff were communicating updates about reassessment requirements and possible next steps for R1’s care and discharge planning.

Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Angela Scot-Kapiloff, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026

LIC9099 (FAS) - (06/04)

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