374603439-7-2-2025-08-AS-APAO-DJF5JU-20250709200032

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603439
Report Date: 07/02/2025
Date Signed: 07/02/2025 10:19:57 AM

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
03/13/2025 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20250313133703

FACILITY NAME:	CASA DE MANANA		FACILITY NUMBER:	374603439
ADMINISTRATOR:	MARIVEL JOHNSON		FACILITY TYPE:	740
ADDRESS:	849 COAST BLVD		TELEPHONE:	(858) 454-2151
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	249	CENSUS: 213	DATE:	07/02/2025
		UNANNOUNCED	TIME BEGAN:	10:03 AM
MET WITH:	Marivel Johnson, Executive Director		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Staff is financially abusing a resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Marivel Johnson, Executive Director.

LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on March 20, 2025 and conducted a tour of the facility. It was alleged that the staff is financially abusing a resident while in care. Interviews and review of medical records revealed that Resident 1 (R1) did not have any cognitive impairment, and did not require assistance with money or activities. Interviews with R1 revealed the person they loaned the money too was a long time family friend. Interviews revealed that it was a loan, and that the person also gave R1 a rolex watch to hold on to as collateral until the loan was paid back to them. Interviews revealed that facility staff was made aware of the incident when the police came to the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

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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Control Number 08-AS-20250313133703

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: CASA DE MANANA	FACILITY NUMBER: 374603439
	VISIT DATE: 07/02/2025

NARRATIVE

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Continued on LIC9099-C page.

Interviews with staff revealed that the person R1 went to the bank with and loaned the money too was a former employee. Interviews revealed that at the time of the incident the employee had been off of work on Workers Compensation for an undisclosed amount of time. Interviews with staff revealed they interviewed R1 and they stated they knew this person for a long time and that they felt comfortable loaning the money to them.

Interviews also revealed a date the family friend/staff will pay R1 back. Interviews revealed R1 was supposed to receive a cashiers check for 7 thousand dollars on 4/5/2025. Interviews with the Executive Director revealed the resident showed them a check for half of the money. Interviews also revealed that the remaining balance would be paid back/ paid off on or before 5/31/2025. Interviews revealed that on 5/31/2025 the administrator called LPA Holmes and advised LPA that the full amount of money that had been borrowed had been paid back in full to the resident.

Interviews with outside sources revealed they were worried about the transaction as well. The police were called and they came and took a report after speaking with R1. Outside resources revealed that the resident is able to make financial decisions and did not have any restrictions.

The Department has investigated the above-mentioned allegation and based on interviews, LPA observations, and records review, it was determined that the complaint allegation is Unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Executive Director Marivel Johnson via face time and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided via email. An electronic email read receipt confirms the documents were received.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

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