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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604232
Report Date: 02/05/2025
Date Signed: 02/05/2025 12:47:44 PM

Unfounded


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
01/28/2025 and conducted by Evaluator Carmen Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250128133240
FACILITY NAME:REMINGTON CLUB IIFACILITY NUMBER:
374604232
ADMINISTRATOR:TERRI BOSTIANFACILITY TYPE:
740
ADDRESS:16922 HIERBA DRIVETELEPHONE:
(858) 673-6333
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:140CENSUS: 51DATE:
02/05/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Raquel Mathews, Director of Health and WellnessTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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- Financial abuse
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to open a complaint investigation. While at the facility LPA investigated and delivered findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by concierge Sabrina Uchino. LPA stated the purpose of the visit and reviewed the findings of the complaint with Raquel Matthews, Director of Health and Wellness.

The Department’s investigation consisted of interview with staff and records review of relevant documents pertinent to this investigation. On January 28, 2025, it was alleged that financial abuse transpired at the facility.

It was specifically alleged facility staff #1 (S1) financially abused resident #1 (R1) and staff #2 (S2) assisted with the financial abuse. On February 5, 2025, LPA reviewed the Facility’s current Resident Roster dated February 5, 2025, which R1s name was not found on the roster.

(Continuation on LIC9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
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-20250128133240
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: REMINGTON CLUB II
FACILITY NUMBER: 374604232
VISIT DATE: 02/05/2025
NARRATIVE
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(Continuation of LIC9099)

LPA reviewed the staff Daily Assignment schedule for January 13, 2025, through January 18, 2025, and did not observe the names of S1 or S2 on their assignment sheet. Upon further review of the roster for all Remington Club residents, it was determined that R1 did not reside in the licensed Assisted Living facility. LPA interviewed Director of Health and Wellness and confirmed that R1 did not ever reside in the assisted living facility. It was also confirmed that S1 and S2 are not employees of the facility.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during records reviewed and interview with staff, we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. The allegation was not pertinent to this licensed facility. The Department has cross-reported this complaint to the appropriate agencies for follow-up.

The report was discussed, and an exit interview was conducted with Raquel Matthews, Director of Health and Wellness. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Director of Health and Wellness Matthews at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2