374604045-8-20-2025-18-AS-APAO-DL2454-20250829184720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604045
Report Date: 08/20/2025
Date Signed: 08/20/2025 10:16:21 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2025 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250811082309

FACILITY NAME:	HIDDEN GLENN SENIOR LIVING VI		FACILITY NUMBER:	374604045
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	662 TRANQUILITY GLEN		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 15	DATE:	08/20/2025
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Brigitta Lofvendahl, Executive Director		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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9

Staff are not meeting resident's dietary needs.

INVESTIGATION FINDINGS:

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On 08/20/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation listed above. The LPA met with Brigitta Lofvendahl, Executive Director and explained the elements of the allegation. The investigation consisted of interviews and records review.

On 08/11/25 Community Care Licensing received a complaint alleging staff are not meeting resident's dietary needs. It was alleged that Resident #1 (R1)s dietary needs are not being met. During today's visit the LPA conducted a records review of the facility census, which revealed R1 does not reside at the facility. The census revealed that R1 is a residing in another building/facility. Per an interview with Brigitta Lofvendahl, Executive Director, confirmed that R1 is in fact residing in another building. Therefore the allegation is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025

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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