374604868-8-22-2025-08-AS-SJAB-DLFPTC-20250912113543

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604868
Report Date: 08/22/2025
Date Signed: 08/22/2025 06:05:13 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
05/08/2025 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20250508161154

FACILITY NAME:	WINGS RECOVERY CENTER @ BRIGHTQUEST SAN DIEGO		FACILITY NUMBER:	374604868
ADMINISTRATOR:	OVERTON, CHRISTA		FACILITY TYPE:	735
ADDRESS:	5495 WELLESLEY STREET		TELEPHONE:	(619) 466-0547
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	6	CENSUS: 3	DATE:	08/22/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Kimberly Reynoso Residential Manager		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not allowing the resident access to personal belongings
Staff did not properly explain resident's treatment plan
Staff do not allow residents to leave the facility
Staff are not providing adequate medical services to residents

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the findings in the above-mentioned complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Kimberly Reynoso Residential Manager

During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents, and outside sources.

On May 8, 2025, it was alleged that the staff did not ensure the client was accorded personal privacy, the staff engaged in inappropriate conversations with the client, and the staff did not allow the client access to their personal property.

(Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025

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-20250508161154

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: WINGS RECOVERY CENTER @ BRIGHTQUEST SAN DIEGO	FACILITY NUMBER: 374604868
	VISIT DATE: 08/22/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA Domingo conducted interviews with staff members who provided statements confirming that the facility and staff follow proper procedures to ensure residents have access to their personal belongings. Staff 1 (S1) stated, "We ensure that residents can access their personal belongings whenever they request. We have a system in place where belongings are stored securely but are accessible to residents at any time." Staff 2 (S2) confirmed, "I assist residents in accessing their belongings at least twice a day."

Outside sources were interviewed, who provided statements confirming that the facility follows proper procedures to ensure residents have access to their personal belongings.

Records reviewed verified that the admission agreement has resident rights that the resident or responsible person signs. Staff are trained on resident rights and personal belongings management as per Title 22 regulations. when hired and throughout their employment.

On May 8, 2025, it was alleged that the facility staff did not properly explain the resident's treatment plan.

LPA Domingo conducted interviews with staff members who provided statements confirming that the facility and staff follow proper procedures to ensure residents have access to their personal belongings. (S1) stated, "I explained the treatment plan to all the residents that are admitted and ensured they understood each part before they signed it." S2 confirmed, "We have a protocol to review treatment plans with residents regularly and document their understanding."

Outside sources were interviewed, and they stated, "The staff explained my treatment plan to me, and I understood it well. They answered all my questions." Another client, [Client B], mentioned, "Whenever I have questions about the treatment plan, the staff takes the time to explain everything clearly."

Records reviewed verified the resident's treatment plan records. The records include detailed explanations of the treatment plan, signed by both the resident and the staff member who explained it. The treatment plan was reviewed and signed by the resident, indicating understanding and agreement.

On May 8, 2025, it was alleged that the facility staff did not allow residents to leave the facility. LPA Domingo conducted interviews with staff members who provided statements. S1 stated that residents are allowed to leave the facility as long as they are safe to do so. We ensure their safety by keeping track of their

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20250508161154

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: WINGS RECOVERY CENTER @ BRIGHTQUEST SAN DIEGO	FACILITY NUMBER: 374604868
	VISIT DATE: 08/22/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

whereabouts. If the resident is not safe and they are at risk of any harm, we follow the procedures in place by calling the authorities to report they are AWOL (Absent Without Leave). S2 confirmed that residents are free to leave whenever they wish, but if their safety is a concern, there are procedures in place to report that the resident is leaving the facility.

Outside source 1 (OS1) was interviewed, and they are aware of safeguards in place if a resident chooses to leave the facility, when unsafe to do so. The staff are very conscious of the residents' safety.

Records reviewed verified that the residents, upon admission, agree with the treatment plan before being admitted. There is a procedure called Absent Without Leave (AWOL) when a resident is not safe to leave the facility. Staff training records verify that the staff is trained on resident rights. There is a policy that guides staff on what to do if a resident leaves the facility who is not safe to be without supervision.

On May 8, 2025, it was alleged that the facility staff are not providing adequate medical services to residents. LPA Domingo conducted interviews with staff members who provided statements. S1 stated, "We ensure that all residents receive regular medical checkup's and follow-up care as needed. We have a protocol in place for managing medical emergencies." S2 was interviewed and stated, "We document all medical services provided to residents and ensure they receive their prescribed medications on time."

Outside sources stated that the residents receive medical checkup's, and the staff are very attentive to their health needs. "The facility has a good system in place for providing medical services to residents. They are diligent in ensuring residents receive the necessary medical care."

Records reviewed verified that the residents received appropriate medical services. There are no incident reports related to staff not providing adequate medical services to the residents.

The Department has investigated a complaint with the above allegations. The Department has found that although the allegations may have occurred or be valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur; therefore, the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report and licensee rights (LIC 9058 03/22) was provided to Kimberly Reynoso Residential Manager who's signature confirms receipt of these rights.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3