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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603323
Report Date: 07/18/2024
Date Signed: 07/18/2024 12:40:34 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
05/08/2024 and conducted by Evaluator Sabel Martinez
COMPLAINT CONTROL NUMBER: 08-AS-20240508163943
FACILITY NAME:BARON'S PRESIDIO UNIVERSITY CITYFACILITY NUMBER:
374603323
ADMINISTRATOR:NARMINA MAMEDOVAFACILITY TYPE:
740
ADDRESS:6860 CONDON DRIVETELEPHONE:
(858) 558-4772
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:6CENSUS: 5DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Agnieszka Norton and Caregiver Esther VillarTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Staff did not address pests in the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced a follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Esther Villar. Administrator Angie Norton arrived during the visit and assisted the LPA.

Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents.

It was alleged staff did not address pests in the facility. On 5/8/2024, it was reported to the Department spiders, and cockroaches were observed in the facility, and that the facility had not addressed the pest.
Interviews with multiple external sources, who confirmed conducting several visits to the facility, reported not witnessing any pest at the facility, and not having concerns with pest at the facility. Some internal interviews also reported not having any concerns, and not witnessing any pest at the facility.
(See LIC 9099-C for continuation of report.)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 08-AS-20240508163943
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: BARON'S PRESIDIO UNIVERSITY CITY
FACILITY NUMBER: 374603323
VISIT DATE: 07/18/2024
NARRATIVE
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Other internal sources did witness cockroaches, but also mentioned a pest control company had been hired to address the concern. The sighting of cockroaches had decreased or stopped since then.

An interview with the administrator confirmed someone had report cockroaches at the facility, that the administrator had witnessed at least one dead cockroach at the facility, and a pest control company was hired. The administrator initial sprayed the facility with store bough products, prior to obtaining professional services. Receipts showed the pest control started services on 5/2024, and conducted a subsequent visit on 6/19/24.

Although the pest control services were hired after the allegation was reported the Department, there was not enough evidence to prove the facility staff did not address the pest concern. Therefore, the allegation was Unsubstantiated.

An exit interview was conducted with Norton, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058), were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2