<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604690
Report Date: 05/12/2026
Date Signed: 05/12/2026 12:00:45 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
05/08/2026 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20260508141013
FACILITY NAME:CARROLL'S RESIDENTIAL CAREFACILITY NUMBER:
374604690
ADMINISTRATOR:MEYERS, BRYANFACILITY TYPE:
740
ADDRESS:655 S MOLLISON AVETELEPHONE:
(619) 444-3181
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:144CENSUS: 126DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sarita Mendoza, Assistant ManagerTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent resident from engaging in a physical altercation with another resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to open a complaint and delivered findings. The Assistant Manager allowed LPA entry. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Assistant Manager.

Licensing Program Analyst (LPA) conducted interviews, reviewed records, and completed a facility tour in response to the allegation that staff did not prevent a resident from engaging in a physical altercation with another resident. On May 8, 2026, the Department received a complaint regarding the above allegation.

On May 12, 2026, during the investigation, LPA interviewed facility staff and involved residents. Staff interviewed stated that Resident 1 (R1) and Resident 2 (R2) are generally friends; however, R2 has difficulty accepting limits and does not respond well when told “no” or when unable to get what they want. R1 reported that R2 punched them in the ear, and in response, R1 punched R2 in the nose. R1 stated that the incident occurred over a month ago and that they and R2 are now friends, with no additional incidents occurring since that time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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
Control Number 08-AS-20260508141013
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: CARROLL'S RESIDENTIAL CARE
FACILITY NUMBER: 374604690
VISIT DATE: 05/12/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
R1 also expressed uncertainty as to why the matter was being reported, as the altercation was not recent and the issue had been resolved between them.

R2 confirmed that they struck R1 in the ear and that R1 punched them in the nose during the incident. R2 also stated that they and R1 are now friends and reported no further conflict between them.

Staff reported that following the incident, R2’s medication was adjusted and there have been no additional behavioral incidents involving R2. Staff stated that facility protocol is to notify residents’ case managers and psychiatrists when behavioral concerns become a pattern. Staff 2 (S2) confirmed that R2’s case manager was informed of the incident when it occurred and stated there have been no additional altercations between R1 and R2 since that time.

LPA reviewed facility records, which confirmed incident reports were completed and documented on April 8, 2026, and April 28, 2026. Documentation reviewed indicated that the facility addressed the incident appropriately and that no further physical altercations between the residents have been reported.

Based on interviews conducted, records reviewed, and information obtained during the investigation, there is insufficient evidence to support the allegation that staff failed to prevent a resident from engaging in a physical altercation with another resident. Although an altercation did occur, evidence indicates the facility responded appropriately, addressed the incident, and implemented interventions to prevent recurrence.

Therefore, the allegation that staff did not prevent resident from engaging in a physical altercation with another resident is deemed Unsubstantiated. An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with the Assistant Manager. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Assistant Manager and her signature on this report confirms receipt.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2