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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881740
Report Date: 12/02/2025
Date Signed: 12/02/2025 10:56:12 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/24/2025 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20251124161305
FACILITY NAME:MARBELLA SAN MARCOSFACILITY NUMBER:
371881740
ADMINISTRATOR:RODGERS, AMBERFACILITY TYPE:
740
ADDRESS:1590 WEST SAN MARCOS BLVDTELEPHONE:
(760) 471-9904
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:245CENSUS: 160DATE:
12/02/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Executive Director, Amber RodgersTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Staff is mismanaging medication
INVESTIGATION FINDINGS:
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On 12/2/2025, Licensing Program Analyst (LPA) Valerie Flores made an unannounced visit to the facility for the purpose of delivering complaint findings into the allegation listed above. LPA met with Executive Director Amber Rodgers and explained to Amber the purpose of the visit. The investigation consisted of records review, observations, and interview.

Information received alleged staff are mismanaging Resident #1 (R1)’s medication. A record review conducted of R1’s physician report detailed that R1 does not require assistance with medication management. R1 is able to administer and store their own medication. A review of R1’s admission agreement detailed that the facility would provide assistance with care services that are determined by the physician report. Interviews with Staff #1 and R1 corroborated that R1 does not require assistance with medication management and facility staff have not assisted R1 with the control and custody of R1’s medication.
(Continue to LIC9099C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20251124161305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: MARBELLA SAN MARCOS
FACILITY NUMBER: 371881740
VISIT DATE: 12/02/2025
NARRATIVE
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(Continuation from LIC9099)

Interview with R1 further reported that R1 stores their own medication and organizes their medication in a weekly pill planner to remind themselves when to administer their medication. R1 further reported that they do not need additional assistance and R1 has a friend who assists R1 with refilling R1’s medication when the medication is running low. LPA observed R1’s medication on R1’s dining table along with (3) three weekly pill planners.

Therefore, the allegation of staff is mismanaging medication is deemed unfounded. A finding that the allegation is unfounded meaning that the allegation was false, could not have happened, and/or is without a reasonable basis.


An exit interview was conducted, and a copy of this report was provided to Executive Director, Amber Rodgers.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2