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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603722
Report Date: 01/21/2026
Date Signed: 01/21/2026 04:11:47 PM

Document Has Been Signed on 01/21/2026 04:11 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:EL CAJON SENIOR CARE HOMEFACILITY NUMBER:
374603722
ADMINISTRATOR/
DIRECTOR:		SASSO-TOTH, DAWNFACILITY TYPE:
740
ADDRESS:571 TERRA LANETELEPHONE:
(619) 804-8105
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 6CENSUS: 5DATE:
01/21/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH: House Manager Melissa Cherry and Licensee/Administrator Dawn Sasso-TothTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite a deficiencies which were identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Melissa Cherry. LPA also spoke with Licensee/Administrator Dawn Sasso-Toth via phone during today’s visit.

During LPA's 01/21/2026 site visit, Licensee/Administrator was not physically present at the facility. LPA asked the House Manager (who was the acting administrator) for Staff #2’s (S2) personnel file. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] However, Licensee’s staff were unable to timely produce it during LPA’s visit, which occurred during normal business hours, and which lasted several hours. CCR 87412(f) states, “All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.”

Interview of administrator and multiple care staff showed S2 worked on the facility’s overnight NOC shift. Review of CCLD’s Guardian Database showed that S2 did not possess an active criminal record clearance with CCLD, which was required before S2 can work. [Licensee immediately pulled S2 off the work schedule and arranged coverage to backfill their shifts. Licensee agreed to not employ S2 again, until S2 is cleared and associated the facility’s employee roster in Guardian.]


[CONTINUED ON LIC 809-C]
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Dang Nguyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: EL CAJON SENIOR CARE HOME
FACILITY NUMBER: 374603722
VISIT DATE: 01/21/2026
NARRATIVE
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[CONTINUED FROM LIC 809] The available records and interviews showed: According to R1’s Admissions Agreement, R1 moved into the facility in September 2024, and R1’s monthly rent was payable to Licensee on the 1st day of each month. Beginning November 2025, R1 stopped making rent payments to Licensee. (R1 still had a past-due balance owed to Licensee as of the date of this report.) Licensee subsequently issued a 30-day-notice / eviction letter to R1. This letter was dated 11/01/2025 and stated that R1 was required to vacate the premises no later than 11/30/2025. The letter was served to R1’s acting representative on 11/12/2025.

CCLD reviewed a copy of this letter, finding: The notice to quit did not include, “Resources available to assist in identifying alternative housing and care options which include, but are not limited to, the following: 1. Referral services that will aid in finding alternative housing. 2. Case management organizations which help manage individual care and service,” as required. The notice to quit did not include a statement informing the resident of “their right to file a complaint with the licensing agency, as specified in Section 87468, subsection (a)(4), including the name, address and telephone number of the licensing office with whom the licensee normally conducts business, and the State Long Term Care Ombudsman office,” as required. The notice to quit also did not include the following required paragraph: “In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing.” Lastly, neither a written report nor a copy of R1’s eviction letter was sent to CCLD within the required five (5) days.

Six (6) deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D pages). Since one of these deficiencies was regarding a staff background clearance, and immediate civil penalty of $500 was assessed (refer to the LIC421-BG page). Plans of Correction was jointly developed with the Licensee.

An exit interview was conducted with House Manager Melissa Cherry. A copy of this report, the LIC 809-D pages, the LIC421-BG page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Cherry, and a duplicate set was E-mailed to Licensee/Administrator Dawn-Sasso Toth.
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Dang Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 01/21/2026 04:11 PM - It Cannot Be Edited


Created By: Dang Nguyen On 01/21/2026 at 02:26 PM
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: EL CAJON SENIOR CARE HOME
FACILITY NUMBER: 374603722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2026
Section Cited
CCR
87355(e)(2)

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87355 Criminal Record Clearance: "(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department…” This requirement was not met, as evidenced by:
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S2 was not on duty during LPA’s visit. Licensee took immediate steps to completely remove S2 from the work schedule. This action resolved the immediate risk. Licensee agreed to not employ S2 at the facility again, unless S2 subsequently achieves a CCLD criminal record clearance/exemption and becomes associated to the facility’s employee roster in Guardian.
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Based on record review and manager interviews, Licensee did not ensure that 1 of 9 staff (S2) obtained a California clearance or a criminal record exemption as required by the Department, prior to working in the licensed facility. This posed an immediate safety risk to 5 of 5 residents (Resident #2 through Resident #6) in care.
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Type B
02/21/2026
Section Cited
CCR87412(f)

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87412 Personnel Records: “(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.” This requirement was not met, as evidenced by:
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Licensee agreed to provide a set of keys to the staff who act as the administrator on duty (such keys will remain in a safe spot or with a safe person, at the facility) which provide them controlled access to staff records/files. Licensee agreed to send LPA a photograph of said key(s), by the POC due date.
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Based on LPA observation and staff interviews, for 9 of 9 staff (S1 through S9), Licensee did not ensure that their personnel records were available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. This posed a potential safety risk to persons 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:
Dang Nguyen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2026


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 01/21/2026 04:11 PM - It Cannot Be Edited


Created By: Dang Nguyen On 01/21/2026 at 02:29 PM
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: EL CAJON SENIOR CARE HOME
FACILITY NUMBER: 374603722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2026
Section Cited
CCR
87224(d)(1)(B)

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87224 Eviction Procedures : “(d)(1) The notice to quit shall include the following information: (B) Resources available to assist in identifying alternative housing and care options…” This requirement was not met, as evidenced by:
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Based LPA observation and interviews, R1 was discharged from the hospital to a skilled nursing facility (SNF) on a short-term basis, and R1’s representative is seeking another care facility for R1. Licensee agreed to have the facility administrator [Staff #1 (S1)] complete retraining on correct eviction procedures for RCFE, led by a third-party instructor (preferably a CEU education vendor already approved by CCLD). Licensee agreed to E-mail the proof of training completion to LPA, by the POC due date.
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Based on records review, in the notice to quit regarding 1 of 6 residents (R1), Licensee did not include resources available to assist in identifying alternative housing and care options, to include referral services and case management organizations. This posed a potential personal rights risk to persons in care.
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Type B
02/21/2026
Section Cited
CCR87224(d)(1)(C)

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87224 Eviction Procedures : “(d)(1) The notice to quit shall include the following information: (C) A statement informing residents of their right to file a complaint with the licensing agency, as specified in Section 87468, subsection (a)(4), including the name, address and telephone number of the licensing office with whom the licensee normally conducts business, and the State Long Term Care Ombudsman office.” This requirement was not met, as evidenced by:
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Based LPA observation and interviews, R1 was discharged from the hospital to a skilled nursing facility (SNF) on a short-term basis, and R1’s representative is seeking another care facility for R1. Licensee agreed to have the facility administrator [Staff #1 (S1)] complete retraining on correct eviction procedures for RCFE, led by a third-party instructor (preferably a CEU education vendor already approved by CCLD). Licensee agreed to E-mail the proof of training completion to LPA, by the POC due date.
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Based on records review, in the notice to quit regarding 1 of 6 residents (R1), Licensee did not include a statement informing residents of their right to file a complaint with the licensing agency, as specified in Section 87468, subsection (a)(4), including the name, address and telephone number of the licensing office with whom the licensee normally conducts business, and the State Long Term Care Ombudsman office. This posed a potential personal rights risk to persons 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:
Dang Nguyen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2026


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 01/21/2026 04:11 PM - It Cannot Be Edited


Created By: Dang Nguyen On 01/21/2026 at 02:32 PM
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: EL CAJON SENIOR CARE HOME
FACILITY NUMBER: 374603722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2026
Section Cited
CCR
87224(d)(1)(D)

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87224 Eviction Procedures : “(d)(1) The notice to quit shall include the following information: (D) The following exact statement as specified in Health and Safety Code Section 1569.683(a)(4): ‘In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing.’” This requirement was not met, as evidenced by:
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Based LPA observation and interviews, R1 was discharged from the hospital to a skilled nursing facility (SNF) on a short-term basis, and R1’s representative is seeking another care facility for R1. Licensee agreed to have the facility administrator [Staff #1 (S1)] complete retraining on correct eviction procedures for RCFE, led by a third-party instructor (preferably a CEU education vendor already approved by CCLD). Licensee agreed to E-mail the proof of training completion to LPA, by the POC due date.
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Based on records review, in the notice to quit regarding 1 of 106 residents (R1), Licensee did not include the following exact statement as specified in Health and Safety Code Section 1569.683(a)(4): “In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing.” This posed a potential personal rights risk to persons in care.
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Type B
02/21/2026
Section Cited
CCR87224(f)

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87224 Eviction Procedures: “(f) A written report of any eviction shall be sent to the licensing agency within five (5) days.” This requirement was not met, as evidenced by:
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Based LPA observation and interviews, R1 was discharged from the hospital to a skilled nursing facility (SNF) on a short-term basis, and R1’s representative is seeking another care facility for R1. Licensee agreed to have the facility administrator [Staff #1 (S1)] complete retraining on correct eviction procedures for RCFE, led by a third-party instructor (preferably a CEU education vendor already approved by CCLD). Licensee agreed to E-mail the proof of training completion to LPA, by the POC due date.
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Based on records review, Licensee did not send a written report of eviction regarding 1 of 6 residents (R1) to the licensing agency within five (5) days. This posed a potential personal rights risk to persons 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:
Dang Nguyen
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2026


LIC809 (FAS) - (06/04)
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