Complaint Investigation Report

374604675-4-14-2026-08-AS-SJAB-DUBSH9-20260522135307

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

04/08/2026 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20260408163041

Staff are not assisting resident with showering

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to the facility to deliver findings on the above‑mentioned allegation. LPA gained access to the facility, identified themselves, and met with Chris Neale to discuss the purpose of the visit.

LPA conducted interviews with a resident , facility staff, and reviewed relevant resident records.

On April 8, 2026, the Community Care Licensing Division (CCLD) received a complaint alleging staff are not assisting the resident with showering. More specifically, Resident #1 (R1) reported being unable to shower or wash their independently due to physical limitations and shoulder pain.

R1 has physical limitations and, according to the Assessment/Care Plan dated 11/04/2025, R1 is to receive standby assist for showering, reminders for dressing, and is listed as independent with grooming. The care plan does not list transfer assistance. The Physician’s Report dated 10/09/2025 indicates that R1 is capable of completing self care tasks slowly and that additional help is welcomed but not required.

Department interviews with R1 reveal never informing management about needing additional help and believed bathing assistance was included in their contract. Some staff interviews reported that R1 often requires more help than standby assist and stated they assisted R1 when requested. A review of records did not show documentation of staff refusing assistance or prior concerns reported to the facility.

Based on interviews, direct LPA observations, 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 Executive Director Chris Neale, and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.