374604063-8-18-2025-08-AS-SJAB-DKZQTL-20250829122720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604063
Report Date: 08/18/2025
Date Signed: 08/18/2025 09:57:09 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
08/11/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250811095128

FACILITY NAME:	MESAVIEW SENIOR ASSISTED LIVING		FACILITY NUMBER:	374604063
ADMINISTRATOR:	GENOVEVA GUERRERO		FACILITY TYPE:	740
ADDRESS:	7971 CULOWEE STREET		TELEPHONE:	(619) 466-0253
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	30	CENSUS: 30	DATE:	08/18/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Genoveva Guerrero		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Staff did not prevent resident from engaging in inappropriate behaviors
Staff are not providing a comfortable environment for resident
Staff did not safeguard resident's personal belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to investigate and deliver findings regarding the above-mentioned allegations. The LPA was greeted by Administrator Genoveva Guerrero, who identified herself and disclosed the purpose of the visit. The Department’s investigation consisted of reviewing records and interviewing internal and external sources as well as staff.

On August 11, 2025, Community Care Licensing (CCL) received a complaint alleging the above-allegations. The Department’s investigation consisted of staff and client interviews, record reviews and investigative observation and outside sources interviews.

(Continued on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

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-20250811095128

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: MESAVIEW SENIOR ASSISTED LIVING	FACILITY NUMBER: 374604063
	VISIT DATE: 08/18/2025

NARRATIVE

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(Continued from LIC9099)

It was alleged that staff did not prevent residents from engaging in inappropriate behaviors and were not providing a comfortable environment for resident #1(R1). More specifically, R1 reported during an interview that they feel people at the facility are threatening them and that they feel uncomfortable due to weird looks. Physician’s Report dated March 31, 2025, states (R1) is diagnosed with schizophrenia with a history auditory hallucinations. R1 has been a client at the facility since June 30, 2023. Interviews with the reporting party confirm that R1 frequents a day program and has been observed reacting to feelings of being watched and becoming upset when they perceive others are not friendly toward them. They further noted R1 has a cognitive impairment and a history of misinterpreting social interactions The Long term care ombudsman interview revealed they are not aware of any incidents involving threats or mistreatment at the facility and expressed no current concerns regarding R1’s safety. Interviews with R1 denied any physical contact and stated others at the facility made them feel uncomfortable. Interviews with staff deny that residents threaten each other.

It was also alleged that staff did not safeguard R1's personal belongings. More specifically, R1 reported during an interview that someone stole clothes a few years ago at the facility. Multiple residents and staff interviews were conducted. The interviews reveal they have no concerns with items missing from residents' rooms. Multiple staff and client interviews also reveal they have no concerns over theft in the facility.

Based on interviews and observations a preponderance of evidence does not exist to support the above allegations. The allegations is therefore unsubstantiated.

An exit interview was conducted with Administrator Genoveva Guerrero, 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: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

LIC9099 (FAS) - (06/04)

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