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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600276
Report Date: 11/10/2025
Date Signed: 11/10/2025 04:38:55 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2025 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250224165747
FACILITY NAME:CASA DE CASTROFACILITY NUMBER:
374600276
ADMINISTRATOR:CHERYL M. CASTROFACILITY TYPE:
740
ADDRESS:5581 CHATTANOOGATELEPHONE:
(619) 267-3934
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Celeste CastroTIME COMPLETED:
04:36 PM
ALLEGATION(S):
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Resident sustained unstageable pressure injury due to staff neglect
INVESTIGATION FINDINGS:
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On 11/10/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Administrator Celeste Castro and explained the purpose of the call.

Regarding the allegation resident (R1) sustained unstageable pressure injury due to staff neglect, R1 was brought to the hospital and had unstageable pressure injury.

During the investigation, staff members were interviewed, and records were reviewed.

R1 was under hospice upon admission to the facility under hospice. Per records, the facility submitted an incident report to the department regarding R1s hospitalization on 2/22/2025. R1 had started to develop pressure sores and the administrator recommended to the hospice nurse for a wound specialist. Hospice nurse (HN) mentioned that he/she is the wound specialist. HN also said that there is no issue with the facility as every time HN visits, R1 is changed properly, diapers are always dry.

Based on interviews and records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Report is reviewed and a copy is provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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