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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604688
Report Date: 06/26/2025
Date Signed: 06/27/2025 03:58:30 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
03/13/2025 and conducted by Evaluator Hannah Rodgers
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250313083417
FACILITY NAME:VILLA KALI MAFACILITY NUMBER:
374604688
ADMINISTRATOR:AMUNDSON, ASHLEYFACILITY TYPE:
772
ADDRESS:17676 VISTA RANCHO COURTTELEPHONE:
(760) 683-5152
CITY:RANCHO SANTA FESTATE: CAZIP CODE:
92067
CAPACITY:6CENSUS: DATE:
06/26/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Operations Manager Elizabeth PowellTIME COMPLETED:
08:40 AM
ALLEGATION(S):
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Unqualified staff
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hannah Rodgers conducted a virtual visit, via video conference, to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Operations Manager Elizabeth Powell.

On March 13, 2025, it was alleged that there was an unqualified staff member working at the facility. It was alleged that Staff #1 (S1) was hired to provide care as a primary therapist, and that S1 was caring for clients and running group therapy sessions, although they were unlicensed and unregistered to do so. The Department’s investigation consisted of an unannounced facility visit, records review, and staff and client interviews.

(CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
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 2
Control Number 08-AS-20250313083417
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: VILLA KALI MA
FACILITY NUMBER: 374604688
VISIT DATE: 06/26/2025
NARRATIVE
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Review of facility records did not reveal entries by S1 on behalf of therapy sessions, nor did it reveal that S1 was assigned as the primary therapist for the clients present. Interviews with staff and clients were consistent in that the interviews did not reveal that S1 has ran a therapy session. The interviews did reveal that S1 has been present during group therapy sessions but as a second to another primary therapist who runs the sessions.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that there was an unqualified staff member working at the facility. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Operations Manager Elizabeth Powell, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided via electronic mail. An electronic read receipt confirmation was requested to be sent by the Operations Manager Powell upon receipt of the documents.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2