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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604764
Report Date: 02/11/2026
Date Signed: 02/11/2026 12:35:57 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
01/02/2026 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20260102161407
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: 6DATE:
02/11/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Caregiver Armon WorrellTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not ensure that the facility was kept free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Correia conducted a follow-up complaint visit to deliver the finding regarding the above-mentioned allegation. LPA was greeted at the front entrance by Caregiver Worrell, identified herself, and explained the purpose of the visit.

The Department's investigation included staff and outside source interviews, a facility tour, and a review of facility records.

On January 2, 2026, the Department received a complaint alleging that the facility had a pest infestation. An interview with an Outside Source (OS1) revealed they were notified that a client in care (C1) was observed with a pest on their person. An interview with the Licensee indicated that C1 had recently received packages from their prior placement and could hace been the source of the pest and also diclosed there have been no issues regarding pests at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
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-20260102161407
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: 02/11/2026
NARRATIVE
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The Licensee also stated that the facility maintains a contract with a pest control agency that provides routine pest control services. A review of facility records corroborated that the facility receives regular preventive treatment by a pest control agency. Additionally, during facility tours, LPAs observed no signs of pests and noted that the facility appeared sanitary and pest-free.

Based on the Department’s investigation, the allegation was determined to be UNSUBSTANTIATED. An unsubstantiated finding means that although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove that the alleged violation happened. No deficiencies were cited during today’s visit.

LPA Correia conducted an exit interview with Caregiver Worrell and informed them that a copy of this report and the Licensee’s rights would be provided at the conclusion of the visit. Signature below confirms receipt of the documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2