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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603870
Report Date: 04/21/2026
Date Signed: 04/21/2026 01:54:03 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
04/13/2026 and conducted by Evaluator Janet Ngallo
COMPLAINT CONTROL NUMBER: 08-AS-20260413103528
FACILITY NAME:LA CRUZ SENIOR CARE, INCFACILITY NUMBER:
374603870
ADMINISTRATOR:CRUZ, LINDAFACILITY TYPE:
740
ADDRESS:1882 EUCLID AVENUETELEPHONE:
(619) 729-1842
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:8CENSUS: 7DATE:
04/21/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Administrator Linda CruzTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee did not meet residents' incontinence care needs.
Licensee did not meet food service requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst(LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above-mentioned complaint allegations. LPA introduced themselves and disclosed the purpose of the visit and elements of the complaint to Administrator Linda Cruz.

On 04/13/2026, it was alleged that the licensee did not meet residents' incontinence care needs, and that the licensee did not meet food service requirements. The department's investigation consisted of interviews, records review, and LPA observation.

(Cont. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
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-20260413103528
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: 04/21/2026
NARRATIVE
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(Cont. from LIC 9099)
Regarding the allegation that the licensee did not meet residents' incontinence care needs, it was alleged that overnight coverage left residents soiled and wet overnight. Interviews did not corroborate the allegation, as staff and residents consistently stated that residents are changed every two(2) hours or as needed, overnight and throughout the day. Staff who worked the morning following the alleged incident reported that residents were changed promptly at the start of their shift and that residents had a normal amount of overnight incontinence consistent with a typical 2-hour window. Residents interviewed reported that they are changed regularly and do not remain wet or soiled for prolonged periods. Some residents were unable to be qualified as valid historians for interview due to cognition.

Records reviewed of the facility’s brief-changing logs from past months consistently showed routine incontinence checks documented every 2 to 4 hours. Review of current residents’ care plans indicated that residents requiring incontinence care or hospice care are to be changed as needed and assisted with toileting every 2 hours, with service boxes checked to indicate provided care. LPA observed multiple resident rooms that contained adequate incontinence supplies, including briefs and wipes.

Regarding the allegation that the licensee did not meet food service requirements, it was alleged that residents at the facility were not receiving dinner. Interviews did not corroborate the allegation, as interviews were consistent in reporting that meals are provided three times daily and that residents have not experienced missed meals. A resident interview stated that meals are served regularly, and they have never missed a meal since moving into the facility. Staff interviews further confirmed that breakfast, lunch, and dinner are prepared and served daily, with meals adjusted based on residents’ schedules and preferences. Staff reported that refusals are documented and that alternative meals or snacks are offered at any time residents request them. Staff also reported that dinner is always provided, and they were not aware of any incidents in which a resident did not receive an evening meal.

Records review supported staff statements. Review of food purchase receipts from April 2026 showed multiple groceries purchased across various food groups. LPA observations revealed fully stocked refrigerators and freezers with no expired food noted.

Based on interviews, observations, and records review, the preponderance of evidence standard has not been met, therefore the above allegations are found to be unsubstantiated. An exit interview was conducted with Administrator Linda Cruz and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.


SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2