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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 05/29/2025
Date Signed: 05/29/2025 10:08:28 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
12/02/2024 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20241202144844
FACILITY NAME:LO-HAR SENIOR LIVINGFACILITY NUMBER:
374604171
ADMINISTRATOR:DUCHARME-FRANKLIN, KANDYFACILITY TYPE:
740
ADDRESS:768 DOROTHY STTELEPHONE:
(619) 444-8270
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:68CENSUS: 67DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Executive Director Jonathan WheelerTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Neglect/Lack of Supervision resulting in serious bodily injury
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Iby Strong and Hannah Rodgers conducted an unannounced visit to deliver findings in the above complaint allegation. LPAs identified themselves and discussed the purpose of the visit with Executive Director Jonathan Wheeler.

On December 2, 2024, Community Care Licensing (CCL) received a complaint alleging Neglect/Lack of Supervision resulting in serious bodily injury to Resident 1 (R1).

Physician’s Report dated September 26, 2024, states R1 is diagnosed with mild neurocognitive impairment, was ambulatory and heath is in fair status. Facility records also show R1 moved into the facility on October 07, 2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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-20241202144844
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: LO-HAR SENIOR LIVING
FACILITY NUMBER: 374604171
VISIT DATE: 05/29/2025
NARRATIVE
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During the investigation, the Department collected pertinent resident records, outside source records and conducted various interviews. According to details of the allegation, on or around November 26, 2024, R1 was not receiving the proper level of care which resulted in multiple falls and a fractured leg. Records collected revealed that R1 was diagnosed with a fractured leg prior to R1’s move into the facility and was actively receiving physical therapy for such injury from an outside source agency. Records also confirmed R1 was receiving medical care for pre-existing injury as early as October 11, 2024, only four days after moving in. Interviews with multiple staff confirmed that as of December 10, 2024, R1 had had a change in condition which had caused multiple falls, but no injuries were observed or reported. Interview with an outside source established that facility was providing multiple status check for R1 throughout the day.  

Based on a review of pertinent records and interviews, the preponderance of the evidence standard was not met to prove neglect/lack of supervision resulting in serious bodily injury. An exit interview was conducted with Executive Director Jonathan Wheeler, 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: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2