Complaint Investigation Report

370802857-2-24-2026-08-AS-SMOA-DRSSGM-20260302125211

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

03/23/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 08-AS-20230323103934

Facility did not follow Absentee Notification Plan

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today to deliver findings on the allegations listed above. LPA met with Rogelio Hernandez and explained the purpose of today's visit.

Regarding the allegation facility did not follow Absentee Notification Plan. Records indicate the facility had not developed or implemented an Absentee Notification Plan for Resident 1, as required. The Administrator stated he attempted to contact Telecare Gateway on 03/13/2023 to notify them the Resident 1 had not returned, but this was not confirmed, and Telecare Gateway staff later reported they were not informed when they visited the facility on 03/14 and 03/15. Telecare Gateway was not made aware of the resident’s absence or death until 03/17/2023. Additionally, the Administrator did not notify local law enforcement when the resident was missing, stating it was Telecare Gateway’s responsibility. The Administrator acknowledged the resident had been absent for over 24 hours without reporting. Based on this information, there is sufficient evidence to determine the facility failed to comply with absentee notification requirements. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are being cited (see LIC 9099D) from the California Code of Regulations, Title 22, and California Health and Safety Code. This incident is currently under review and a future civil penalty may apply based on 1569.49(f) H&S. Failure to correct the deficiencies may also result in civil penalties. Exit interview conducted with facility Administrator Rogelio Hernandez, and appeal rights provided.