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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 01/14/2026
Date Signed: 01/14/2026 01:28:37 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
12/19/2025 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20251219101314
FACILITY NAME:LA VIDA REALFACILITY NUMBER:
374603565
ADMINISTRATOR:GARCIA, KIMBERLYFACILITY TYPE:
740
ADDRESS:11588 VIA RANCHO SAN DIEGOTELEPHONE:
(619) 660-5778
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:177CENSUS: 124DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Executive Director Kimberly Garcia via telephoneTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Staff did not assist resident in a timely manner, resulting in resident fall
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong contacted Executive Director Kimberly Garcia via telephone to deliever findings on the above-mentioned allegation.

On December 19, 2025, Community Care Licensing (CCL) received a complaint alleging staff did not assist Resident 1 (R1) in a timely manner, resulting in R1 sustaining a fall. During the investigation, the Department conducted interviews and reviewed records.

Details of the allegation state that on December 17, 2025, R1 was not assisted timely in using the restroom and R1 attempted to use the bathroom independently which resulted in a fall. Resident 1’s, Physical Report dated June 30, 2025, shows R1 has a cognitive condition but can care for own toileting needs. Resident service plan from July 7,2025 reveals that R1 requires minimal assistance with toileting and uses incontinence pads and a walker.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
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-20251219101314
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: 01/14/2026
NARRATIVE
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Facility surveillance reviewed revealed that at 6:49am on December 17, 2025, R1’s bedroom door was open and at 6:59am, R1 walked through going towards the common area without a walking aid and fell. At 7:01am, staff arrived to assist resident and assess. Interview with Executive Director revealed that R1 was sent out for a medical evaluation. Interview with outside source, established that they have no concern with the care R1 was and is currently receiving at the facility.

Based on records and interviews 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: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2