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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604267
Report Date: 01/20/2026
Date Signed: 01/20/2026 03:32:42 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
01/15/2026 and conducted by Evaluator Janet Ngallo
COMPLAINT CONTROL NUMBER: 08-AS-20260115111105
FACILITY NAME:CLOISTERS OF THE VALLEY, LLCFACILITY NUMBER:
374604267
ADMINISTRATOR:DISHA FRANCES-HALLFACILITY TYPE:
740
ADDRESS:4171 CAMINO DEL RIO SOUTHTELEPHONE:
(619) 283-2226
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY:70CENSUS: 63DATE:
01/20/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:RSD Marquetta CorbettTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Lack of supervision resulted in resident on resident altercation with injury.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA identified themselves and met with Executive Director Tia Suuronen-Goodwin to discuss the purpose of the visit and elements of the complaint. Residential Services Director Marquetta Corbett joined the visit shortly after.

On January 15th, 2026, it was alleged that lack of supervision resulted in resident on resident altercation with injury. The department's investigation consisted of an unannounced facility visit, LPA observations, interviews with staff and residents, and records review.

(Cont. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026
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-20260115111105
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: CLOISTERS OF THE VALLEY, LLC
FACILITY NUMBER: 374604267
VISIT DATE: 01/20/2026
NARRATIVE
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(Cont. from LIC 9099)

Regarding the allegation, interviews with staff and residents did not report that a resident on resident altercation with injury occurred. Interviews consistently stated that R1 exhibited increased verbal and physical aggression on January 9, 2026, but behaviors were addressed through redirection. The resident is routinely supervised due to wandering tendencies, with frequent safety checks and staff observation during meals and activities. On January 10, 2026, staff reported that R1 exhibited aggressive behaviors toward other residents for the first time, prompting staff to initiate a 5150 hold due to danger to self and others. Staff reported that none of these altercations caused injury. Residents interviewed reported that they did not witness any altercations.

A review of facility records revealed R1's progress notes, which showed no documentation of physical aggression in prior entries except for the dates of the alleged incidents. Records review of the incident report, the resident’s care plan, and the physician’s report were consistent with interviews. The care plan specifies that the resident will be reoriented and redirected when wandering and that frequent checks will be conducted to ensure safety. 

LPA observed residents throughout the facility, including those identified as potential victims of the allegation. All residents were observed with no visible physical injuries. The environment was clean, organized, and free of hazards.

Based on interviews, records review, and LPA observation, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Residential Services Director Marquetta Corbett to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided and their signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026
LIC9099 (FAS) - (06/04)
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