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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600980
Report Date: 03/03/2022
Date Signed: 03/03/2022 07:14:49 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/28/2022 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20220228112059
FACILITY NAME:CASA DE CASTRO IIFACILITY NUMBER:
374600980
ADMINISTRATOR:CHERYL CASTROFACILITY TYPE:
740
ADDRESS:7766 PRAIRIE MOUND WAYTELEPHONE:
(619) 475-7525
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 5DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Administrator, Celeste CastroTIME COMPLETED:
01:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not dispose of rodent
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Marisela Garcia-Centeno, conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation. LPA identified herself and was granted entry by Caregiver, Emelita Supnet. LPA stated the purpose of the visit and reviewed the basic elements of the complaint with Administrator, Celeste Castro.

During the visit, LPA Garcia-Centeno conducted a tour of inside and outside of the facility with Caregiver, Supnet. LPA interviewed staff and briefly interacted with residents in care.

Based on observations and interviews with staff and outside sources, the allegation was determined to be unsubstantiated as the preponderance evidence standard was not met. An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 01/16) was provided to Administrator, Castro, via email. An electronic email receipt confirms the documents were received.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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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