374604171-9-10-2025-08-AS-LTEZ-DM227Y-20250930170930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 09/10/2025
Date Signed: 09/10/2025 02:55:05 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
02/08/2022 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20220208135238

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: 67	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	02:53 PM
MET WITH:	Yolanda Torres, Clinical Director via telephone		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Resident sustained injury when transferred.
Staff did not assist resident with incontinence care.
Staff did not meet residents' dietary needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong contacted facility via telephone to deliver findings in the above-mentioned allegations. LPA spoke with Clinical Director Yolanda Torres and discussed the purpose of the call.
On February 8, 2022, Community Care Licensing (CCL) received a complaint alleging Resident (R1) sustained a bruise when transferred, staff did not assist R1 with incontinence care and staff did not meet R1’s dietary needs. During the investigation, the Department conducted interviews, and reviewed facility records.
According to the first allegation, on February 4, 2022, R1 complained of discomfort while being transferred from wheelchair and R1 was observed to have a hand shaped bruised on their left side.Interview with outside source could not establish that facility staff caused bruise to R1. Interview with other residents revealed they were not in any discomfort when being transferred or cared for by staff. Interview with staff present during that time revealed that internal investigation of allegation yielded no results.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

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-20220208135238

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: 09/10/2025

NARRATIVE

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It was also alleged that R1 was not assisted with incontinence care during the night. Records collected revealed that as of January 11, 2022, R1 returned from a brief hospital stay with a noted higher level of care. Records show R1’s care plan was updated, and staff were reminded that R1 needed more assistance. Interview with residents revealed that they had no issues with the care being provided by staff. Interview with outside source could not corroborate R1 was not receiving incontinence assistance at night.

Lastly it was alleged that R1 was not being provided with prescribed dietary shake. Records collected revealed R1 was prescribed dietary shake as of January 24, 2022, and records show R1 began receiving such shake daily as of January 25, 2022. Interview with staff present during this time revealed R1 was regularly receiving shakes and there was one incident of the prescription not arriving on time due to delivery error. Interview with outside source could not confirm R1 did not receive shakes.

Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Clinical Director, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) emailed to.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

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