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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604801
Report Date: 02/12/2026
Date Signed: 02/12/2026 03:43:48 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
01/13/2026 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20260113155152
FACILITY NAME:CAVELARIS COMMUNITY CAREFACILITY NUMBER:
374604801
ADMINISTRATOR:MERZIOTIS, MARGAUXFACILITY TYPE:
735
ADDRESS:9975 SAN JUAN STTELEPHONE:
(619) 370-6733
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:22CENSUS: 22DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Arlene Doulopoulos AdministratorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not keep facility free of bed bugs.
Staff did not ensure that facility is kept clean.
Staff are smoking in the facility.
Staff engaged in an inappropriate conversation with a resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to open a complaint on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Arlene Doulopoulos Administrator, caregiver to discuss the purpose of the visit.

LPA conducted conducted a tour of the facility, and conducted interviewes. It was alleged that staff did not keep facility free of bed bugs. Interviews revealed that staff sprayed the room and the pest control has came out and sprayed three (3) room in the beginning and then another four (4) rooms so seven (7) in total. Interviews revealed the bed bugs never leave and they are constantly spraying and getting it treated but the treatment is not working. Interviews revealed Client 1 (C1) stated "they a lot of bed bugs but they don' bite them". Interviews revealed the pest control comes every couple of weeks. The allegation is substantiated for staff not keeping the facility free of bed bugs.

It was alleged that staff did not ensure that facility is kept clean. Interviews revealed there is a staff that does some cleaning around the facility but it is still not clean and that they don't do a good job. Interviews revealed that the toilets have feces stains in them, the floors are dirty and barley swept and mopped. Interviews also revealed that there are rat traps all around the facility and that staff don't make the clients clean their rooms and get rid of the food in their rooms. Interviews with staff revealed that they do clean the facility but the clients bring all kinds of stuff back to the facility like trash and dirt and they try to keep ip with cleaning the facility. LPA observations has revealed the facility is not kept clean. The allegation is substantiated for staff not ensuring that facility is kept clean.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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 4
Control Number 08-AS-20260113155152
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: CAVELARIS COMMUNITY CARE
FACILITY NUMBER: 374604801
VISIT DATE: 02/12/2026
NARRATIVE
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It was alleged that staff are smoking in the facility. Interviews revealed that Staff 1 (S1) smokes cigarettes in the buildings. Interviews revealed that S1 smokes in the kitchen and around the other rooms in the buildings. Interviews revealed that there is another staff that walks in as well with their cigarette lit but usually just walks in with it and walks out. Allegation is substantiated for staff smoking in the building. Interviews with S1 denied the allegation. There were other interviews that revealed S1 always smokes in the facility and has been for years. The allegation is substantiated for staff are smoking in the facility.

It was alleged that staff engaged in an inappropriate conversation with a resident. Interviews revealed that S1 has had many inappropriate conversations with clients. S1 has denied the allegation of speaking to the clients inappropriately. S1 stated that the clients speak to them inappropriately. Interviews revealed that S1 says things like, "oh you like nice today in those heels" or they have heard S1 say "your lips look kissable". Interviews also revealed that they have heard S1 ask clients do they boyfriends and S1 telling clients they look pretty or beautiful. Interviews revealed that they S1 likes to joke a lot and that is how they play it off. Interviews revealed that there were some interviews that did not want to state any names but stated they all know how S1 is. The allegation is substantiated for staff engaging in an inappropriate conversation with a resident.

Based on the evidence obtained from observations and interviews, the complaint allegations are substantiated. A substantiated finding means the allegations are valid because the preponderance of the evidence standard has been met.

Deficiencies are cited per Title 22 California Code of Regulation on the 9099 D page. An exit interview was conducted with Arlene Doulopoulos Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 08-AS-20260113155152
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: CAVELARIS COMMUNITY CARE
FACILITY NUMBER: 374604801
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2026
Section Cited
CCR
80087(a)(1)
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Buildings and Grounds. The licensee shall take measures to keep the facility free of flies and other insects.

This requirement is not met as evidenced by:
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Administrator stated she will have the pest control company that addresses bed bugs to schedule more frequent visits to rid the infestation. In addition, the administrator will Licensee will wash all clients clothing in hot water and make sure clients beddings are clean. POC due by 02/27/2026
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Based on observations and interviews, Licensee failed to keep the facility free of bed bugs. Seven (7) out of twenty two bedrooms has live bed bugs. The Licensee has addressed the bed bug issue by contacting a pest control company to rid the bugs but what they are doing is not working. This poses a potential health and safety risk to clients.
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Licensee will provide proof of the contracted company and follow guidelines for best practices for controlling bed bugs by POC due date by 02/13/2026.
Type B
03/13/2026
Section Cited
CCR
80072(a)(2)
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Personal Rights. To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. This requirement is not met as evidenced by:
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Licensee will have the facility cleaned by an outside source. Licnesee will send proof of work order and items to be cleaned by POC due to CCL by 03/13//2026
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Based on observations and interviews, the licensee did not accord healthful accommodations to 22 out 22 clients [C1-C22], which poses a health, safety, and personal rights risk to clients in care.
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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: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20260113155152
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: CAVELARIS COMMUNITY CARE
FACILITY NUMBER: 374604801
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2026
Section Cited
CCR
80072(a)(2)
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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
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Effective immediately: The Licensee shall ensure that staff refrain from smoking in the facility. The licensee shall conduct an in-service to staff from an outside source regarding no smoking in the facility policy by and the dangers of smoking inside the facility. POC will be submitted to CCL by 02/27/2026
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Interviews confirmed staff smoke in the facility. Licensee has failed to address this ongoing issue and this posed a potential health and safety risk to 22 of 22 clients (C1-C22) in care.
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Type B
02/27/2026
Section Cited
CCR
80072(a)(1)
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Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met as evidenced by:
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Licensee will provide training to all staff by an outside source regarding personal rights and what violates a clients rights. POC due to CCL by 02/27/2026
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Interviews confirmed staff make inappropriate comments to clients in the facility. This posed a potential personal rights risk to 22 of 22 clients (C1-C22) in care.
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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: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4