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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603156
Report Date: 03/03/2026
Date Signed: 03/03/2026 12:43:28 PM

Document Has Been Signed on 03/03/2026 12:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SENIOR CARE & COMFORT LIVINGFACILITY NUMBER:
374603156
ADMINISTRATOR/
DIRECTOR:		LOGALLA, BRANDONFACILITY TYPE:
740
ADDRESS:1019 GREENFIELD DRIVETELEPHONE:
(619) 334-3775
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 6CENSUS: 4DATE:
03/03/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:38 AM
MET WITH:Licensee/Administrator - Brandon LogallaTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility, to issue deficiencies identified during a review of facility records. LPA identified herself to Licensee/Administrator Brandon Logalla, was granted entry, and explained the purpose of the visit.

A review of resident records revealed that Resident #1 (R1), Resident #2 (R2), and Resident #4 (R4) are currently receiving hospice care services. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] Interview with Licensee/Administrator reported they admitted R1, R2, and R4 to the facility knowing they were going to be receiving hospice care services. However, the facility does not have an approved hospice waiver on record with the Department. Additional resident records reviewed by LPA revealed that R1, R2, and Resident #3 (R3) had incomplete Medical Assessments on file.

LPA conducted a brief facility tour through the facility and observed R1 and R2 to be bedridden. LPA interviewed staff who reported providing repositioning assistance to R1 and R2 several times throughout the day. LPA also reviewed hospice records for R1 and R2 which noted these residents to be bed bound. The facility is not licensed to accept any bedridden residents per the fire clearance.



Three (3) deficiencies were observed and cited today per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D pages), including an immediate civil penalty of $500 being assessed (refer to the LIC421IM page). A Plan of Correction for each deficiency was jointly developed with Licensee/Administrator.

An exit interview was conducted with Licensee/Administrator Brandon Logalla to whom a copy of this report, a copy of the LIC 811 Confidential names list, LIC 421IM, and Licensee Rights (LIC 9058), were provided.
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Angelica Boyles
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 03/03/2026 12:43 PM - It Cannot Be Edited


Created By: Angelica Boyles On 03/03/2026 at 10:11 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR CARE & COMFORT LIVING
FACILITY NUMBER: 374603156

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/04/2026
Section Cited
CCR
87202(a)(2)

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87202 Fire Clearance (a)All facilities...Prior to accepting or retaining any of the following types of persons, the...licensee shall notify the licensing agency and obtain an appropriate fire clearance...(2)Bedridden persons
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Licensee stated they will submit an LIC200 application for bedridden clearance, update the facility sketch, and contact the Fire Marshall. The Licensee will submit proof to LPA by POC due date.
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This requirement was not met as evidenced by: LPA observations, records reviewed, and staff interviews revelaed that R1 and R2 are bedbound. The Licensee does not have a fire clearance to accept bedbound residents. This posed an immediate health and saftey risk for 2 of 4 residents in care.
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Type A
03/13/2026
Section Cited
CCR87632(a)

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87632 Hospice Care Waiver (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department ...
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Licensee stated they will submit hospice exceptions for R1, R2, and R3 by POC due date and submit proof to LPA.
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This requirement is not met as evidenced by: Per records review, R1, R2, and R4 were accepted as residents requireing hospcie care services without the Licensee having a Hospice Care Waiver. This posed a health and safety risk to 3 of 4 residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Simon Jacob
NAME OF LICENSING PROGRAM MANAGER:
Angelica Boyles
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/03/2026 12:43 PM - It Cannot Be Edited


Created By: Angelica Boyles On 03/03/2026 at 10:56 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR CARE & COMFORT LIVING
FACILITY NUMBER: 374603156

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2026
Section Cited
CCR
87458(a)

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87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional...to be kept in the resident's record.
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Licensee stated they will get updated and completed Physician's Reports for R1, R2, and R3. Licensee will submit proof to LPA by POC due date.
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This requirement was not met as evidenced by: Records reviewed revealed R1, R2, and R3 had incompleted Medical Assessments (LIC 602A). This posed a poetential health and safety risk to 3 of 4 residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Simon Jacob
NAME OF LICENSING PROGRAM MANAGER:
Angelica Boyles
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2026


LIC809 (FAS) - (06/04)
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