374604700-5-6-2026-08-AS-APAO-DUA67N-20260520203350

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604700
Report Date: 05/06/2026
Date Signed: 05/06/2026 02:27:54 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
01/30/2025 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20250130145728

FACILITY NAME:	INDAYPROGRAMSAC		FACILITY NUMBER:	374604700
ADMINISTRATOR:	MARZEENA, NORA		FACILITY TYPE:	775
ADDRESS:	615 E LEXINGTON AVE		TELEPHONE:	(619) 995-3543
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	60	CENSUS: 33	DATE:	05/06/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Administrator, Nora Marzeena		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff did not meet clients supervision needs
Staff did not treat clients with dignity
Staff did not meet clients needs
Staff did not ensure clients are engaging in activities
Staff did not meet clients incontinence needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegations. LPA spoke with Administrator, Nora Marzeena.

During the investigation, the facility was toured, records reviewed, and interviews conducted with staff, clients, and outside sources. It was alleged that staff did not meet client supervision needs. It was reported clients were left unattended while out in the community. This facility is a Day Program for adults with intellectual disabilities. The facility has outings on a regular basis. The administrator confirmed they have sufficient staffing to meet the staff/client ratio. Also, if additional staff are needed, they will ensure staff are available. Two incidents were reported regarding clients being left unattended. Staff reported the staff and clients were at the park one day and C1 was sitting on the grass. All of a sudden, law enforcement approached C1 and handcuffed C1. Staff made the officer aware that C1 had an intellectual disability. The officer removed the handcuffs and released C1, as it was a misunderstanding. Staff confirmed they were present at the park. Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

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-20250130145728

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: INDAYPROGRAMSAC	FACILITY NUMBER: 374604700
	VISIT DATE: 05/06/2026

NARRATIVE

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Some staff were assisting clients with lunch. C1 was sitting in the grass enjoying the sun then all of a sudden, law enforcement was present. An outside source reported that the clients were at the mall’s food court unsupervised. The outside source reported a client fell, and others with that client assisted the client to get up. In addition, the outside source asked one of the adult’s some questions and that person presented as staff. That same adult was present and assisted when the client fell. The outside source was unable to confirm which adults were clients and which were staff.

It was also alleged that staff did not treat clients with dignity by yelling, biting, and pushing clients. An outside source reported that when a client bites a particular staff member, the staff bites the client back. The outside source later reported that was a misunderstanding and the staff do not bite the clients. Staff denied not treating the clients with dignity. There was one client that was able to communicate and expressed the allegations were false. Other clients were interviewed, however, due to their cognitive ability, the interviews were unsuccessful.

It was also alleged that staff did not meet client’s needs by not providing water and snacks. Staff confirmed the clients bring their own water bottles to program. If the client wants more water, it’s available at the facility. The facility also has snacks available, but the client’s responsible party provides the client’s snacks. The facility has available water bottles and a water dispenser. Client interview confirmed they are allowed to have water whenever they want. However, they have to ask staff to get it because they don't want client's in the kitchen for safety reasons.

It was also alleged that staff did not ensure clients were engaged in activities. It was reported the staff were taking the client's computer time away from them as punishment. The administrator explained all clients have the right to use the computer. However, some clients don’t have the cognitive ability to use the computer. They limit the computer times so that other clients may have a turn. Also, it’s limited so that the client will engage in other activities to assist them with independence. Client’s are allowed to use the computer during their scheduled time. A client reported there are no computer issues, they all have assigned times to share the computer and use it. Continued on LIC 9099C.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250130145728

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: INDAYPROGRAMSAC	FACILITY NUMBER: 374604700
	VISIT DATE: 05/06/2026

NARRATIVE

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Lastly, it was alleged that staff did not meet clients incontinence needs. An outside source reported clients were soiled and did not receive the proper care and assistance. The outside source later denied the allegation. Staff confirmed they provide incontinent care to some clients. Clients briefs are checked regularly and changed by staff. Staff explained that some clients are non-verbal and unable to express their need for the bathroom. However, they check the client’s brief multiple times a day.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Administrator, Nora Marzeena.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026

LIC9099 (FAS) - (06/04)

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