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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601276
Report Date: 04/09/2026
Date Signed: 04/09/2026 01:07:25 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
03/19/2025 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250319093816
FACILITY NAME:ANGEL'S GUEST HOME #1FACILITY NUMBER:
374601276
ADMINISTRATOR:JENKINS, PATRICIAFACILITY TYPE:
740
ADDRESS:9208 BELLAGIO RDTELEPHONE:
(619) 258-2013
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:6CENSUS: 4DATE:
04/09/2026
UNANNOUNCEDTIME BEGAN:
12:59 PM
MET WITH:Catherine McEvoyTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Questionable Death
Financial abuse by staff
INVESTIGATION FINDINGS:
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On 04/09/2026, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke Licensee Catherine McEvoy and explained the purpose of the call.

For the allegation of questionable death, resident (R1) was sent to hospital on 3/15/2025. According to records review, it was stated that R1 was brought to the hospital by ambulance from the facility where the paramedics were told R1 was last seen well around 6:00 pm on 3/14/2025. Staff told paramedics R1 was normally alert and oriented but now only responds to his/her name. R1 was placed on comfort care while in the hospital and death was pronounced on 3/21/2025.

Regarding the allegation of financial abuse by staff, R1 moved into the facility on or about 8/30/2023. R1 signed the resident agreement and agreed to pay. Starting in March 2024, R1 did not pay the full rent to the facility. R1 asked a family member (F2) to meet at the facility and informed F2 that R1 wanted to sell the mobile home. R1 hired his/her own realtor. R1 found the realtor with the assistance of the Licensee.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
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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Control Number 08-AS-20250319093816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: ANGEL'S GUEST HOME #1
FACILITY NUMBER: 374601276
VISIT DATE: 04/09/2026
NARRATIVE
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On 6/28/2024, R1 paid Licensee for past due rent. After that, R1 paid a lower rate at the facility as Licensee lowered it. Checks were written for personal items like clothing as R1 did not have enough clothing. Other checks were made for picking up personal items and Christmas gifts for R1’s family.

According to the physician’s report and hospital records, R1 did not have a diagnosis of dementia. Those interviewed at the facility, and the realtor stated R1 did not appear to have memory issues. The signatures on documents appeared to match those R1 signed for the facility. Despite having a DPOA, R1 managed his/her own finances for the duration of stay at the facility.

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

Report is reviewed and copy is provided.

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SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026
LIC9099 (FAS) - (06/04)
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