374604063-2-15-2026-08-AS-SJAB-DRMUKE-20260225143859

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604063
Report Date: 02/12/2026
Date Signed: 02/15/2026 03:33:24 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
06/24/2025 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20250624155723

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: 29	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Administrator Genoveva Guerrero,		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff abuse resulting in serious bodily injury

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 a review of records and interviews with internal and external sources.

On July 31, 2025 Community Care Licensing (CCL) received a complaint alleging that the Reporting Party(RP) observed a bloody wound in Resident #1(R1) genital area, identified as a torn meatus, and indicated the injury may have resulted from improper handling by facility recommended hospitalization for further evaluation .
(Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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-20250624155723

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: 02/12/2026

NARRATIVE

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(Continued from LIC9099)

R1, was wheelchair-bound, required total assistance for all activities of daily living, followed a pureed diet, exhibited behavioral disturbances, and had a catheter in place incrementally. R1 was also was transported daily to a healthcare facility for insulin care.

Department review of email correspondence reveals on June 6, 2025 the facility reported observing blood drops from the R1's genital area during a brief change and notified R1's clinic. On June 17, 2025, the facility emailed the clinic reporting a skin tear near the catheter site. The clinic responded with instructions to clean the area, adjust the catheter securement device to reduce tension, and monitor the resident, noting that the resident was on blood thinners.

Department review of the facility’s Unusual Incident/Injury Report dated June 24, 2025, revealed on June 24, 2025, the resident attended a routine appointment at R1's clinic, the facility documented receiving a call from the clinic nurse stating that trauma related to the catheter was observed and the resident was sent to the hospital for further evaluation.

Department review of hospital records dated June 24, 2025, revealed the resident was examined for a genital injury and diagnosed with erosion of the urethra related to catheter use. The documentation does not reference external trauma or abuse.

Department review of Training Log dated, 05/29/2024 revealed staff had training on Skin care and pressure ulcer training and staff also received instruction on proper catheter care procedures and communication protocols to ensure compliance with care standards. Facility records show staff communicated with clinic and family regarding catheter care, followed instructions provided, and reported the incident to CCLD as required.

Based on interviews and document review a preponderance of evidence does not exist to support the allegation that staff abused a resident resulting in serious bodily injury. The allegation 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: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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