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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 04:00:39 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
02/28/2023 and conducted by Evaluator Donna Teutschel
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20230228093653
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:
03:50 PM
MET WITH:Rana HuqTIME COMPLETED:
03:51 PM
ALLEGATION(S):
1
2
3
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8
9
-Staff refused to assist resident with transfer
-Staff required resident to wear diaper
-Staff did not ensure resident was hydrated
-Staff did not seek medical attention for resident timely
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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. 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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