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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603870
Report Date: 04/23/2026
Date Signed: 04/23/2026 11:11:20 AM

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
01/28/2026 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20260128081232
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:
04/23/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Sarah Balverde, StaffTIME COMPLETED:
11:17 PM
ALLEGATION(S):
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Staff do not ensure residents incontinence care needs are being met
Staff do not ensure residents receive clean bedsheets
Staff did not ensure infection control guidelines were being followed
Staff do not ensure residents care plans are being followed
Staff do not ensure residents medications are properly managed
Staff do not ensure residents receive medications as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to open a complaint on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Sarah Balverde, Staff to discuss the purpose of the visit.

LPA conducted conducted a tour of the facility, and conducted interviewes. It was alleged that staff do not ensure residents incontinence care needs are being met. Interviews and LPA observations revealed after inspecting all the bedrooms of the facility, all rooms appeared clean and sanitary. There were no malodors observed or any staining observed. Interviews with an outside source revealed that the staff is always on top of their parent's incontinence care. Interviews also revealed that they have not observed their parent unclean or unsanitary. Interviews revealed that staff change the residents diapers whenever they need it to be changed. Interviews revealed that they are changed whenever they ask a staff and it was revealed that there hasn't been a time where they were left to sit in a diaper too long.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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-20260128081232
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: 04/23/2026
NARRATIVE
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 It was alleged that staff do not ensure residents receive clean bedsheets. Interviews and observations revealed the bedsheets appeared clean, no staining or dried urine was observed. Interviews revealed that staff keep the bedrooms clean. Interviews with outside sources revealed that the staff is on top of cleaning.

It was alleged that staff did not ensure infection control guidelines were being followed. Interviews revealed that the staff follow their infection control policy by wearing gloves and masks when needed. Interviews revealed they clean and sanitize the facility with bleach. Interviews revealed that they disinfect the walls and doorknobs to keep the facility clean and the residents safe.

It was alleged that staff do not ensure residents care plans are being followed. Interviews revealed that staff do a "good job" taking care of them. Interviews revealed that that the staff follow their care plans and they have no complaints about the staff. Interviews with an outside source revealed that the care plans that they have observed while working with the residents show that the staff are following them. Interviews with the outside source revealed they have not observed a care plan that they created not being followed.

It was alleged that staff do not ensure residents medications are properly managed. Interviews revealed the residents get their medications and don't have any issues getting the medications. Interviews with an outside source revealed they have observed the staff assist the residents with medications and that the residents they work with have not had any medication issues. LPA observation showed the medications are reordered in time for the residents not to run out of medications and LPA observed documents to show when the orders were refilled.

It was alleged that staff do not ensure residents receive medications as prescribed. Interviews revealed the residents get their medications and don't have any issues getting the medications. Interviews with staff revealed they manage the medications how they were trained and they give the medications according to the doctors orders.

Based on the evidence obtained from interviews, the complaint allegations are unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Sarah Balverde, Staff and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2