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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 08/08/2025
Date Signed: 08/08/2025 12:18:25 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
03/20/2024 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20240320105858
FACILITY NAME:LA VIDA REALFACILITY NUMBER:
374603565
ADMINISTRATOR:DAVID ARMOURFACILITY TYPE:
740
ADDRESS:11588 VIA RANCHO SAN DIEGOTELEPHONE:
(619) 660-5778
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:177CENSUS: 126DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Executive Director Kimberly Garcia TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Lack of Supervision resulting in physical abuse
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings for the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia.

On March 20, 2024, Community Care Licensing (CCL) received a complaint alleging lack of supervision resulted in physical abuse to Resident 2. During the investigation, the Department collected pertinent resident records as well as facility documentation and conducted interviews.

Details of the allegation state that on March 18, 2024, Resident 2 (R2) was physically abused by Resident 1 (R1). According to Resident 1’s Physician Report, R1 is diagnosed with a major neurocognitive disorder as well as agitation and is aggressive. R2’s Physician Report states R2 is diagnosed with depression and heart failure but does not have any inappropriate behavior and is able to communicate need.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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-20240320105858
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: LA VIDA REAL
FACILITY NUMBER: 374603565
VISIT DATE: 08/08/2025
NARRATIVE
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According to records collected, R1 and R2 are a married couple. Interviews revealed that R2 reported the incident to staff who separated R1 and R2. Interview with an outside source confirmed that R1 and R2 were separated and put in different rooms after the incident. Interview with Executive Director revealed that responsible parties were not agreeable with the residents being separated. R1 and R2 were then returned to same bedroom and were later moved out of the facility by responsible parties. According to interviews with outside source, R1 did not have any history of aggressive behaviors.

Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2