Complaint Investigation Report

374604618-11-5-2025-08-AS-LTEZ-DVYVPR-20260714163709

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN DIEGO RO , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/29/2025 and conducted by Evaluator David Roman

COMPLAINT CONTROL NUMBER: 08-AS-20251029165145

Licensee did not report fire at facility.

Licensing Program Analyst (LPA), David Roman, conducted an unannounced inspection visit to initiate a complaint investigation. LPA was met by Licensee, Helen Qian and was granted entry into the facility. The purpose of the visit was discussed with Licensee.

During today's visit, LPA D. Roman along with facility staff, conducted a tour inside and outside of the facility. LPA D. Roman observed the area in which the alleged fire occurred. Staff reported that a ceiling fan was beginning to smoke, was immediately turned off, fire department contacted, and the fan was removed. LPA D. Roman took pictures of the area where the fan was located, LPA observations proved a ceiling fan malfunctioned causing smoke and no fire. Based on evidence obtained, the preponderance of evidence standard was not met, therefore, the allegation was unsubstantiated.

An exit interview was conducted with Facility Licensee, Helen Qian, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058) were provided.