Complaint Investigation Report

374604579-8-4-2025-08-AS-SJAB-DK8VLY-20250804163244

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

11/05/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20241105142914

Client sustained bruises from unknown source

Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Sally Saif, Administrator.

LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on 11/07/2024 and conducted a tour of the facility. It was alleged that Client 1 (C1) sustained bruises from unknown source. Interviews revealed that C1 went to program on 11/01/2024 after staying home due to not feeling well. C1 came home the same day with a bruise from program. According to interviews, it was revealed that C1 fell while at the program and the program did not report the client falling. Interviews also revealed staff at program knew about C1 falling and the program did not report the fall to the facility. Interviews revealed C1 did not fall or have any incidents while at the facility. Interviews revealed staff at the day program deny C1 falling or getting injured while in their care. C1 is diagnosed with Down syndrome, Intellectual disability and schizophrenia and is unable to communicate; C1 requires assistance with all grooming, medication, bathing, toileting, and management of personal resources which staff assists C1 with.

The Department has investigated the above-mentioned allegation and based on interviews, LPA observations, and records review, it was determined that the complaint allegation is Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Sally Saif, Administrator via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.