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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604264
Report Date: 11/06/2025
Date Signed: 11/06/2025 05:20:15 PM

Substantiated


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
10/29/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20251029134201
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: 4DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Staff, Milagros GalvanTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in residents wandering away from facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and was allowed entry into the facility by Staff, Conchita Gallardo. LPA discussed the allegation mentioned above wtih staff present. Administrator, Faria Huq and Licensee, Rana Huq arrived during the visit.

During today's visit, LPA briefly toured the facility, reviewed records, interviewed staff, and residents. It was alleged staff did not provide adequate supervision resulting in a resident wandering away from facility. It was reported Resident #1 (R1) wandered away from the facility on 10/29/25. R1's Physician's Report dated 05/08/2023 indicated R1 was ambulatory, and had a diagnosis of a Major Neurocognitive disorder. It also indicated R1 was unable to leave the facility unassisted. On 10/29/25, R1 wandered out the front door and entered the neighbor's house requesting police assistance. Staff interviewed stated one caregiver was assisting a resident in their room, while the other caregiver was assisting another resident. Staff were not aware R1 left the facility usassisted. Staff stated once they realized R1 was missing they went to search for R1. Continued on LIC 9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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 4
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
10/29/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20251029134201

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: 4DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Staff, Milagros GalvanTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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9
Neglect, resulting in pressure injuries
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and was allowed entry into the facility by Staff, Conchita Gallardo. LPA discussed the allegation mentioned above wtih staff present. Administrator, Faria Huq and Licensee, Rana Huq arrived during the visit.

During today's visit, LPA briefly toured the facility, reviewed records, interviewed staff, residents, and outside sources. It was alleged neglect, resulting in pressure injuries. The current residents at the facility do not have pressure injuries. Today, LPA interviewed a hospice nurse that oversees the care of two of the four residents. The nurse confirmed the two residents did not have any pressure injuries. The other residents were observed and did not have pressure injuries. The administrator and staff confirmed the residents did not have any pressure injuries. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Milagros Galvan whose signature below confirms receipt of these rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20251029134201
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: NIR COMMUNITY III
FACILITY NUMBER: 374604264
VISIT DATE: 11/06/2025
NARRATIVE
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R1 was found outside the facility being escorted by the police. R1 did not sustain any injuries. Staff admitted R1 wanders, therefore, a padlock was placed on the front door to prevent R1 from exiting during the day and at night. Also, a lock was placed on R1's sliding door exit of their room. According to Licensee the lock was placed on the sliding door to prevent people from breaking in at night. However, the additional sliding door exits do not have locks. LPA observed an auditory device on the front door. However, it was not activated. The administrator removed the padlock and the lock on the sliding door, and turned on the auditory devices during the visit. In addition, the facility did not have an absentee plan on file for residents.

Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Milagros Galvan whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20251029134201
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: NIR COMMUNITY III
FACILITY NUMBER: 374604264
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/07/2025
Section Cited
HSC
1569.312(d)
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Basic services requirements. Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by:
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Administrator, Faria Huq had the locks immediately removed. In addition, they will ensure the auditory devices are operable, and conduct training on ensuring staff are aware of residents whereabouts by POC due date.
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Based on interviews, the licensee did not know the whereabouts of 1 out of 4 [R1] residents, which posed an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4