374604727-7-10-2025-08-AS-APAO-DJG8V4-20250710225031

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604727
Report Date: 07/10/2025
Date Signed: 07/10/2025 02:54:16 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
02/27/2024 and conducted by Evaluator Marisela Garcia-Centeno

COMPLAINT CONTROL NUMBER: 08-AS-20240227112321

FACILITY NAME:	LANCE PLACE		FACILITY NUMBER:	374604727
ADMINISTRATOR:	MASONER, EVA		FACILITY TYPE:	735
ADDRESS:	10056 ROTHGARD RD		TELEPHONE:	(858) 262-3057
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	4	CENSUS: 4	DATE:	07/10/2025
		UNANNOUNCED	TIME BEGAN:	11:01 AM
MET WITH:	Administrator, Eva Masoner		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility staff verbally abused client
Facility staff pushed client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to the facility to deliver investigative findings. Upon arrival, LPA was granted entry and met with Administrator Eva Masoner. The purpose of the visit was explained.

The Department investigated the complaint allegations referenced above. The investigation included a facility tour, interviews with staff, clients, and external sources, as well as a review of relevant documentation, including client records and other pertinent evidence.

On February 27, 2024, Community Care Licensing (CCL) received a complaint alleging that staff member S1 verbally abused and pushed Client C1 while in care. It was specifically alleged that on February 22, 2024, S1 and C1 had a verbal argument over a lost cell phone, which escalated to S1 allegedly pushing C1.
(Continue at LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

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 3

Control Number 08-AS-20240227112321

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: LANCE PLACE	FACILITY NUMBER: 374604727
	VISIT DATE: 07/10/2025

NARRATIVE

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(continued from LIC9099)

A review of C1’s medical records indicated that C1 had been diagnosed with autism spectrum disorder and had a history of sleep disturbances, paranoia, anxiety, and impulsive behavior, which sometimes resulted in frustration and anger. C1 was considered independent, highly functional, and capable of completing all activities of daily living with occasional prompts and reminders. C1 moved into the facility on February 5, 2024.

During an interview conducted on March 6, 2024, C1 described an incident in which S1 became upset after C1 disposed of a cell phone that had been purchased for them. C1 stated that they did not like or trust cell phones and never requested one. They admitted to discarding the phone and claimed that S1 became upset and pushed them during the argument. C1 noted they did not sustain any injuries and stated that the interaction was an argument, not a yelling match.

In a separate interview, S1 denied yelling at or pushing C1. S1 acknowledged feeling upset that C1 threw away the phone rather than returning it, but denied that any physical contact occurred. According to S1 and other staff, law enforcement was called during the incident because C1 attempted to strike S1, and staff were concerned for the safety of both C1 and others at the facility.

Staff interviews revealed that although they overheard an argument between C1 and S1 occurring in the garage, no staff directly witnessed the incident. Staff indicated that by the time law enforcement arrived, C1 had calmed down, and the situation had been successfully de-escalated. The incident was reported to both CCL and the placement agency as required.
A review of the facility’s incident report found no violations of Title 22 regulations. Additionally, a review of staff training records confirmed that all staff, including S1, had completed training in de-escalation techniques and personal rights.
Interviews with other clients consistently indicated that they had not witnessed staff yelling at or mistreating clients. Similarly, staff interviews revealed no reports of any mistreatment or abuse. C1 voluntarily moved out of the facility within the 30-day reappraisal period.

(continue at LIC9099C)

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20240227112321

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: LANCE PLACE	FACILITY NUMBER: 374604727
	VISIT DATE: 07/10/2025

NARRATIVE

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(continue from LIC9099C)

During visits to the facility conducted on March 6, 2024, and again on July 2, 2025, staff and clients were observed interacting positively. There were no signs of abuse, distress, or inappropriate conduct. Clients were observed to be engaged and staff were observed providing care and supervision.

Conclusion:
Based on direct observations, interviews with clients, staff, and external sources, and a review of relevant records, there was insufficient evidence to support the allegations. Although the incident may have occurred, there was not a preponderance of evidence to substantiate that S1 yelled and pushed C1. Therefore, the allegations are deemed unsubstantiated.

An exit interview was conducted with Administrator Eva Masoner. A copy of this report, the LIC 811 Confidential Names List, and the Licensee Rights (LIC 9058 03/22) were provided at the conclusion of the visit.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

LIC9099 (FAS) - (06/04)

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