374604503-9-23-2022-08-AS-DPOL-CJRSQS-20220930140510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604503
Report Date: 09/23/2022
Date Signed: 09/23/2022 05:12:47 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/08/2022 and conducted by Evaluator Dawn Segura

COMPLAINT CONTROL NUMBER: 08-AS-20220908104216

FACILITY NAME:	MORNINGSIDE MANOR		FACILITY NUMBER:	374604503
ADMINISTRATOR:	HULSEY, JOSEFINA		FACILITY TYPE:	740
ADDRESS:	2847 MORNINGSIDE ST.		TELEPHONE:	(760) 481-8238
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92139
CAPACITY:	6	CENSUS: 5	DATE:	09/23/2022
		UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Regina Patton-Jackson, Administrator		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Licensee does not have control of property.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Regina Jackson-Patton, to whom she explained the purpose of the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, review of records, and interviews.

It was reported that the licensee entered into a verbal agreement with the owner of the property to pay monthly mortgage payments for the home in which the facility is located, and the licensee would subsequently acquire ownership after all agreed upon payments were made to the owner. It was alleged that the licensee complied with the agreement until July of 2022, at which time licensee, allegedly, stopped making payments and no longer maintained control of the facility location property. During the investigation, LPA reviewed copies of the Grant Deed that was recorded in San Diego County, the San Diego County tax bill, and Title

Unfounded

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2022

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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Control Number 08-AS-20220908104216

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: MORNINGSIDE MANOR	FACILITY NUMBER: 374604503
	VISIT DATE: 09/23/2022

NARRATIVE

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Company Report, all of which reflect that the property was transferred from the previous owner to the licensee in the latter part of 2021. Records reflect that the property is currently in the name of the licensee, and the investigation yielded no evidence to indicate that there was ever a time when the licensee did not maintain control of property since taking over the facility in July 2022.

Based upon a review of records and interviews conducted, we have found that the complaint allegation was unfounded, meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. Therefore, as to the above listed allegation, the facility is in compliance with Title 22 regulations at this time, and we have dismissed the complaint.

An exit interview was conducted with Regina Jackson-Patton, and copies of this report and Licensee Rights (LIC 9058) were provided to the administrator at the conclusion of the visit. Administrator’s signature on this report acknowledges receipt of copies of the rights and report.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2022

LIC9099 (FAS) - (06/04)

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