374604171-7-21-2025-08-AS-SJAB-DJUV4D-20250723160610

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 07/21/2025
Date Signed: 07/21/2025 09:49:55 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
06/20/2023 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20230620122813

FACILITY NAME:	LO-HAR SENIOR LIVING		FACILITY NUMBER:	374604171
ADMINISTRATOR:	DUCHARME-FRANKLIN, KANDY		FACILITY TYPE:	740
ADDRESS:	768 DOROTHY ST		TELEPHONE:	(619) 444-8270
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	68	CENSUS: 66	DATE:	07/21/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Executive Director Jonathan Wheeler		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Neglect resulted in hospitalization
Staff did not provide adequate supervision to residents in care
Staff did not meet resident's laundry needs
Facility had no food service director

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Rodgers met with Executive Director Jonathan Wheeler, to deliver findings on the above-mentioned allegation. LPA identified herself and disclosed the purpose of her visit, and conducted the meeting via phone call.

The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews.

On June 20, 2023, Community Care Licensing (CCL) received a complaint alleging that Neglect resulted in hospitalization and staff did not provide adequate supervision to the resident in care. More specifically, resident #1(R1) is allowed to sit outside for hours with no supervision, which led to hospitalization.[See LIC811 Confidential Name List to identify select person identifiers used in this report].
(Continued on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025

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-20230620122813

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: 07/21/2025

NARRATIVE

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(Continued from 9099)

Resident #1 (R1) 's physician report dated July 22, 2023, indicates that R1 uses a wheelchair for mobility and exhibits wandering behavior. However, a review of records and department observations confirmed that R1 can self-propel their wheelchair and navigate the facility grounds independently. Records review of an outside medical provider revealed that the licensee staff appropriately notified R1's medical provider of a change of condition. The medical provider responded for evaluation and determined that a hospital visit was unnecessary. Interviews with staff indicated that staffing was based on residents' acuity levels. Medication Technicians (Med Techs) on each shift were an extra person to assist when needed. Additionally, the facility used an Agency/Registry staff to help assist in the recommended staffing numbers.

Regarding the allegation, the facility had no food service director. More specifically, there is no dietary person at the facility, and they do not know if there is emergency food and water as per the regulations. Annual inspections conducted by the department reveal that there are emergency food and water supplies at the facility. Interviews and records review confirm that the Licensee employs one designated person responsible for food planning, preparation, and service.

Regarding the allegation, the staff did not meet the residents' laundry needs. More specifically, clothes were not cleaned on time. Interviews with staff reveal that staff usually wash and fold laundry on the NOC shift. Interviews with staff also reveal that they are aware of the laundry service needs and are hiring additional staff. However, the department did not observe residents wearing soiled clothing.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Jonathan Wheeler, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided via E-mail. A reply E-mail or read receipt confirmation was requested from Executive Director Wheeler upon receipt of documents

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025

LIC9099 (FAS) - (06/04)

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