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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604764
Report Date: 05/05/2026
Date Signed: 05/05/2026 03:42:03 PM

Substantiated


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
08/29/2024 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20240829172004
FACILITY NAME:GRACEFUL CARE HOMES #1FACILITY NUMBER:
374604764
ADMINISTRATOR:RAMI BRIKHOFACILITY TYPE:
735
ADDRESS:10404 LEN COURTTELEPHONE:
(619) 971-1230
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:6CENSUS: 5DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Eryn Dangel - CaregiverTIME COMPLETED:
03:34 PM
ALLEGATION(S):
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Staff prevented resident from entering the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Eryn Dangel, Caregiver. LPA also spoke with Administrator Rami Brikho over the phone regarding the details of today's visit.

On August 29, 2024 the Department received this complaint which alleged staff prevented Resident #1 (R1) from entering the facility [See LIC811 Confidential Name List for a description of select person identifiers used in this report]. The Department’s investigation included a review of records as well as interviews with staff.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/05/2026
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 5
Control Number 08-AS-20240829172004
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: GRACEFUL CARE HOMES #1
FACILITY NUMBER: 374604764
VISIT DATE: 05/05/2026
NARRATIVE
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(Continued from LIC9099)

An incident report submitted by the facility to the Department detailing the events involving this allegation revealed that on August 22, 2024 R1 became agitated and threw their phone which almost hit a staff member in the head. R1 then went outside and continued to have aggressive behavior which prompted facility staff to call the police. The incident report states that staff did lock R1 out of the facility.

A review of R1’s placement referral dated June 12, 2024 outlined some of R1’s “challenging behaviors” including physical aggression, property destruction, emotional outbursts, and verbal aggression.

The Department has investigated the allegation that staff prevented R1 from entering the facility. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was met to support or corroborate this allegation and therefore deemed substantiated. A deficiency is being cited per Title 22 California Code of Regulations (please refer to 9099-D page) and a plan of correction was jointly developed with the Administrator over the phone. An exit interview was conducted with Caregiver Eryn Dangel, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 08-AS-20240829172004
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: GRACEFUL CARE HOMES #1
FACILITY NUMBER: 374604764
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2026
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights (a)...each client shall have personal rights which include...(3) To be free from corporal or unusual punishment...actions of a punitive nature, including but not limited to... withholding of shelter...
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Administrator agreed to conduct a Personal Rights Training with staff and submit proof of training to LPA.
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This requirement was not met as evidenced by:
Per facility records review, staff prevented R1 from entering the facility and withheld shelter. This posed an immediate personal rights risk to R1.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/29/2024 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20240829172004

FACILITY NAME:GRACEFUL CARE HOMES #1FACILITY NUMBER:
374604764
ADMINISTRATOR:RAMI BRIKHOFACILITY TYPE:
735
ADDRESS:10404 LEN COURTTELEPHONE:
(619) 971-1230
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:6CENSUS: 5DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Eryn Dangel - CaregiverTIME COMPLETED:
03:34 PM
ALLEGATION(S):
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Staff did not administer resident's medication as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Eryn Dangel, Caregiver. LPA also spoke with Administrator Rami Brikho over the phone regarding the details of today's visit.

On August 29, 2024 the Department received this complaint which alleged staff did not administer Resident #1’s (R1) medication as prescribed [See LIC811 Confidential Name List for a description of select person identifiers used in this report]. Specifically, the allegations states that R1 did not receive their medication on August 29, 2024 despite asking for it. The Department’s investigation included a review of facility records.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 08-AS-20240829172004
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: GRACEFUL CARE HOMES #1
FACILITY NUMBER: 374604764
VISIT DATE: 05/05/2026
NARRATIVE
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(Continued from LIC9099)

A records review of observation notes taken by facility staff on August 29, 2024 notate R1 refused to take their medication throughout the day. Additionally, a review of the Medication Administration Record (MAR) showed that R1 had a pattern of frequently refusing medications.

The Department has investigated the allegation that staff did not administer R1’s medication as prescribed. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate this allegations and therefore deemed unsubstantiated. An exit interview was conducted with Caregiver Eryn Dangel to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

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

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5