374604171-6-16-2025-08-AS-APAO-DJ32MC-20250627173051

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 06/16/2025
Date Signed: 06/16/2025 03:40:16 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
04/02/2025 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250402110241

FACILITY NAME:	LO-HAR SENIOR LIVING		FACILITY NUMBER:	374604171
ADMINISTRATOR:	WHEELER, JONATHAN		FACILITY TYPE:	740
ADDRESS:	768 DOROTHY ST		TELEPHONE:	(619) 444-8270
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	68	CENSUS: 67	DATE:	06/16/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Clinical Director Yolanda Torres		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff did not seek medical attention for a resident in care.
Staff did not ensure that a resident in care was fed.
Staff did not ensure that residents are given water.
Staff did not ensure facility was free of malodors

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to continue an investigation on the above-mentioned allegations. LPA met with Clinical Director Yolanda Torres and discussed the purpose of the visit. Executive Director Jonathan Wheeler arrived shortly after.

On April 2, 2025, Community Care Licensing (CCL) received a complaint alleging staff did not seek medical attention for R1, staff did not ensure R1 was fed, staff did not provide multiple residents water and did not ensure facility bedding was free of odors. During the investigation, LPA Strong conducted interviews, and reviewed facility records.

According to the first allegation, on an undisclosed date, Resident 1 (R1) was observed to be having gastrointestinal issues, including vomiting and diarrhea for over two days and staff did not provide R1 with medical care. Interviews conducted with an outside source established that R1 has an ongoing- medical conditional resulting in regular diarrhea and vomiting. Records collected revealed that as of March 24, 2025, R1 received medical labs from primary care provider due to diarrhea.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025

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-20250402110241

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: 06/16/2025

NARRATIVE

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Records also show that as of March 31, 2025, R1 was prescribed medication and warm liquids to assist with gastrointestinal issues. Based on this information, facility had active communication with R1’s medical provider.

The second allegations states that on a undisclosed date, R1 had not eaten for two days. Records collected revealed that R1 refused meals on March 13, 2025. Interview with multiple staff revealed that R1 did not like to eat and would often skips meals. Interview with an outside source established that R1 did have access to protein shakes as needed.

The third allegation states that Resident 2 (R2) had not been given water for two days. Interview with an outside source revealed that R2 was having regular bowel and bladder movements which did not make outside source believe water was being withheld. Interview with staff established that R2 enjoyed eating and drinking and would communicate needs often. LPA Strong also observed multiple water coolers throughout the facility available for resident use.

Lastly, it was alleged that facility bedding was not washed correctly, resulting in urine odors. During today’s date, LPA Strong did not notice any malodors in resident rooms or bedding. Interview with staff established that staff were unaware of clean bedding having any remaining malodors. Interview with outside sources could not corroborate that facility bedding had malodors.

Based on interviews, and record reviews the preponderance of evidence was not met to prove alleged violations, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive 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: 06/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025

LIC9099 (FAS) - (06/04)

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