374603870-7-18-2025-08-AS-APAO-DKVVR7-20250825163929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603870
Report Date: 07/18/2025
Date Signed: 07/18/2025 04:12:31 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
07/16/2025 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250716094136

FACILITY NAME:	LA CRUZ SENIOR CARE, INC		FACILITY NUMBER:	374603870
ADMINISTRATOR:	CRUZ, LINDA		FACILITY TYPE:	740
ADDRESS:	1882 EUCLID AVENUE		TELEPHONE:	(619) 729-1842
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	8	CENSUS: 7	DATE:	07/18/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Linda Cruz		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Insufficient staffing to meet resident's needs
Staff did not administer medication as prescribed
Licensee did not seek medical attention for resident
Staff are not properly trained to administer medications
Infectious material is not being discarded immediately
There are no activities for the residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to initiate an investigation in the above-mentioned allegations. LPA met with Administrator Linda Cruz and discussed the purpose of the visit.

On July 16, 2025, Community Care Licensing (CCL) received a complaint alleging licensee did not seek medical attention for Resident 1 (R1), Insufficient staffing to meet resident's needs, Staff did not administer medication as prescribed, Staff are not properly trained to administer medications, Infectious material is not being discarded immediately and there are no activities for the residents. During the investigation, LPA Strong conducted interviews, conducted a facility inspection and reviewed facility records.

According to the allegation on an undisclosed date, about two months prior to the report, Resident 1 (R1) had a witnessed fall and did not receive medical attention.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

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-20250716094136

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 CRUZ SENIOR CARE, INC	FACILITY NUMBER: 374603870
	VISIT DATE: 07/18/2025

NARRATIVE

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According to interviews, R1 had an witnessed fall that resulted in a bruise, R1 was actively receiving end-of-life services, and an outside source agency was contacted to evaluate R1 post fall. Records collected revealed that R1 was visited by outside source agency to be evaluate for fall and was found to be a bruise. Interview with Administrator revealed that after R1 complained of further pain, Administrator advocated for R1 to receive imaging where it was found that R1 had a fracture. After correct diagnosis, R1 received pain medication but no further medical treatment was chosen by R1.

It was also alleged that facility does not staff enough employees to meet the residents’ needs. Schedule collected revealed that there are two present staff during day shifts and one staff on overnight shifts. Records collected revealed that there are no two person assist residents present at the facility. Interviews with staff revealed that they feel adequately staffed. Interview with outside sources confirmed that there are usually a minimum of two staff present during the day.

The third allegation states that R1 did not receive one does of morphine on an undisclosed date. Medical administration records (MAR) revealed that R1 receives morphine numerous times a day and is prescribed morphine as both as needed prescription and a routine prescription. Interviews with staff did not reveal any information that R1 did not receive a dose of their routine medication. Review of MAR did not reveal any routine doses missed.

The fourth allegation states that staff are not trained to administer medication. Records collected revealed that all staff have received medication management training within the last month from an outside source agency. Interviews with multiple residents established that they receive their medication timely and regularly. Interview with outside sources established that they have not witnessed any medication mismanagement or untrained staff issuing medication. Interview with Administrator established that if a staff member is not comfortable with issuing medication, the Administrator will issue medication to residents in care.

The fifth allegation states that soiled undergarments and urine-soaked bedding were being left in the resident’s room for extended period of time. On today’s date, LPA Strong conducted a facility inspection and did not observe any waste containers with the items mentioned above, in addition, LPA did not smell any malodors anywhere within the facility. Lastly, interviews with staff revealed that it is mandatory for them to dispose of any soiled undergarments soon after they are removed from a resident.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20250716094136

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 CRUZ SENIOR CARE, INC	FACILITY NUMBER: 374603870
	VISIT DATE: 07/18/2025

NARRATIVE

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Multiple interviews with outside sources revealed that there have been no witnessed events of overly full trash or malodors in the facility.

Lastly, it was alleged that there are no activities for residents. Interview with multiple residents revealed that they are offered numerous activities throughout the day but often refuse to do them. Interview with staff established that resident activities include board games, gardening, walks, manicures and stretching. Interview with outside sources revealed that there are no concerns regarding the activities available to residents in care.

Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Administrator, 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: 07/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025

LIC9099 (FAS) - (06/04)

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