374604733-6-9-2026-08-AS-APAO-DV74UV-20260618192518

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604733
Report Date: 06/09/2026
Date Signed: 06/09/2026 09:23:25 AM

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
10/21/2024 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20241021155544

FACILITY NAME:	MERCY CARE FACILITY		FACILITY NUMBER:	374604733
ADMINISTRATOR:	MUHSIN, NIRAN		FACILITY TYPE:	735
ADDRESS:	1440 S ORANGE AVENUE, SPC 38		TELEPHONE:	(619) 655-9411
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	3	CENSUS: 2	DATE:	06/09/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Niran Mushin, Licensee		TIME COMPLETED:	09:12 AM

ALLEGATION(S):

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Licensee did not allow client to have visitors
Licensee did not treat client with dignity

INVESTIGATION FINDINGS:

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On June 9, 2026, Licensing Program Analyst (LPA) Renita Hall conducted a phone interview with the Licensee/Administrator to deliver the findings regarding the complaint investigation.

On October 21, 2024, the Department received a complaint alleging that the licensee did not allow a client to have visitors and did not treat a client with dignity. The investigation included interviews with the licensee, attempted interviews with residents, and other relevant parties, as well as a review of facility records and observations made during the visit.

During the investigation, an attempted telephone interview with the client (R1) was unsuccessful because R1 no longer resides at the facility and did not return calls made to the number on file. The Licensee stated that R1 was allowed visitors but was not provided a key to the main door, as staff are required to be present in the home while residents are on the premises.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026

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-20241021155544

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: MERCY CARE FACILITY	FACILITY NUMBER: 374604733
	VISIT DATE: 06/09/2026

NARRATIVE

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The Licensee further explained that R1 had requested a key in order to independently enter the facility after returning from Day Program. It was also noted that R1 previously lived in an independent living arrangement with their spouse prior to placement at the facility.

An attempt to interview a second resident (R2) was also unsuccessful because R2 no longer resides at the facility. There were no visitor logs or documentation available indicating that visitation had been restricted, and there were no indications or evidence of unreasonable restrictions on visitation. The Licensee confirmed that visitation is permitted in accordance with facility policies and state regulations.

An outside source confirmed that R1 received personal and incidental funds, was able to purchase food independently, and was only at the facility for approximately one month before moving back with their spouse.

It was noted that R1 was permitted independent community access under established expectations aligned with their parole curfew of 6:00 p.m. R1 was expected to return to the facility on time, maintain communication via their personal cellphone if plans changed or delays occurred, and follow community safety expectations.

Regarding the allegation that the licensee did not treat a client with dignity, interviews with the Licensee and outside source revealed no evidence of mistreatment. The outside source stated that R1 expressed the facility was not a good fit. During the visit, LPA observed that residents had access to privacy in their rooms, the facility was clean, and sufficient food was available in accordance with regulations. A review of facility records showed no prior complaints or incidents related to dignity concerns.

Based on interviews conducted, records reviewed, and observations made during the investigation, there was insufficient evidence to support the allegations. Therefore, both allegations are determined to be unsubstantiated, including that the licensee did not allow a client to have visitors and that the licensee did not treat a client with dignity. No deficiencies were cited and no further action is required at this time.

An exit interview was conducted with the Licensee. A copy of this report and Licensee's Rights (LIC 9058/03/22) was provided via email to the Licensee.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026

LIC9099 (FAS) - (06/04)

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