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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604503
Report Date: 12/18/2025
Date Signed: 12/18/2025 02:14:59 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
01/11/2024 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20240111160527
FACILITY NAME:MORNINGSIDE MANORFACILITY NUMBER:
374604503
ADMINISTRATOR:REGINA JACKSON-PATTONFACILITY TYPE:
740
ADDRESS:2847 MORNINGSIDE ST.TELEPHONE:
(619) 856-4968
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 5DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Regina Jackson-Patton AdministratorTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Facility Staff is unable to care for resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Administrator Regina Jackson-Patton.

The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents and outside sources.

On January 11, 2024 Community Care Licensing (CCL) received a complaint alleging the facility staff is unable to care for a resident
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 2
Control Number 08-AS-20240111160527
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: MORNINGSIDE MANOR
FACILITY NUMBER: 374604503
VISIT DATE: 12/18/2025
NARRATIVE
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According to the allegation received, Resident 1 (R1), was not adequately cared for by staff. Outside source 4 (OS4) stated that the facility staff called the Fire department for a lift assist for R1 from the bathroom to R1's bedroom on 01/07/2024. Records reviewed revealed that R1 was on Hospice care and was in an appropriate setting for the care R1 required. On 01/09/2024 the facility staff called the Paramedics for assistance for a medical transport for an unwitnessed fall. R1 and Outside source 4 (OS4) requested to not be transported to the hospital.  The hospice company following R1 was contacted and reviewed R1's medication and R1's current condition and stated that R1's condition was in line with R1's hospice diagnosis. R1 was assisted to R1's bed and was made comfortable. R1's wishes was to remain at the facility.

Staff interviews revealed that they have received appropriate training and were confident in their ability to meet R1's care needs. Staff provided documentation showing regular communication with medical professionals and adherence to the resident's care plan.

Outside source interviews revealed that they have received appropriate training and were confident in their ability to meet R1's care needs. Staff provided documentation showing regular communication with medical professionals and adherence to the resident's care plan.

LPA reviewed care logs, medication administration records, and the care plan for R1. All records were up-to-date, and no discrepancies were noted in care or supervision. Staff training records and schedules were also reviewed, confirming that the staff working with R1 were properly trained and available according to facility standards.

Based on interviews, LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred; therefore, the allegation is UNSUBSTANTIATED. An exit interview via telephone was conducted with Administrator Regina Jackson-Patton, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2