Complaint Investigation Report

374604684-3-26-2026-08-AS-SJAB-DSWPFF-20260407111636

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

03/23/2026 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20260323232818

Staff neglected a resident resulting in hospitalization

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to investigate and deliver findings regarding the above complaint allegation. LPA introduced self and disclosed the purpose of the visit to Executive Director Angela Scott-Kapiloff. The Department’s investigation consisted of interviews with facility staff, interviews with outside sources, and a review of facility records.

On March 23, 2026, Community Care Licensing Division (CCLD) received a complaint alleging that staff neglected a resident resulting in hospitalization. More specifcailly, Reporting party alleged that a Resident #1(R1) was found outside an unknown amount of time with signs of heat-related illness, raising concerns of possible neglect.

Department interviews with Emergency Services reveal that R1 was seated in a chair inside the facility upon their arrival. Department staff interviews as well as records review reveal that supervision and observations were in place prior to the incident for R1. Staff reported that R1 became lethargic but remained communicative, and R1’s baseline mental status did not change during the event. R1 was assisted one-on-one by staff throughout and prior to the incident.

Based on interviews with Staff and outside sources, and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred. Therefore, the allegation is UNSUBSTANTIATED.

:An exit interview was conducted with Angela Scott-Kapiloff, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.