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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604264
Report Date: 06/30/2025
Date Signed: 06/30/2025 03:45:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2021 and conducted by Evaluator Donna Teutschel
COMPLAINT CONTROL NUMBER: 08-AS-20210506084436
FACILITY NAME:NIR COMMUNITY IIIFACILITY NUMBER:
374604264
ADMINISTRATOR:HUQ, RANAFACILITY TYPE:
740
ADDRESS:10975 JANICE CTTELEPHONE:
(858) 414-5095
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:6CENSUS: DATE:
06/30/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Rana HuqTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Absence of supervision at night
Staff are leaving residents in soiled diapers for extended periods of time
Licensee did not provide the required quantity or quality of food to meet the needs of the residents
Licensee is charging for fees not outlined in admission agreement
INVESTIGATION FINDINGS:
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LPM II Donna Teutschel conducted a telephone conference with Licensee/Administrator, Rana Huq. A review was conducted of the allegations listed and investigative details available.to date. Facility has night time sleep staff but residents have a call button system that will alert staff if they need assistance. If staff are alerted by a resident to have diaper changed staff respond. No evidence was provided regarding leaving residents in soiled diapers for extended period of time or that food quality was not acceptable. The service fee invoiced for cable was a one-time fee and that was performed by the licensee in procurring a cable box and hooking the cable up to the residents room, cable box and television which was verbally agreed to. The Department is unable to prove or disprove the allegations and the findings are determined to be Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Donna Teutschel
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2025
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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