374604545-3-18-2025-08-AS-LTEZ-DFAPGB-20250331111804

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604545
Report Date: 03/18/2025
Date Signed: 03/18/2025 04:51:30 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
02/28/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250228102124

FACILITY NAME:	GARDENS AT ESCONDIDO		FACILITY NUMBER:	374604545
ADMINISTRATOR:	SCOTT-KAPILOFF, ANGELA		FACILITY TYPE:	740
ADDRESS:	1342 NORTH ESCONDIDO BLVD		TELEPHONE:	(760) 480-8155
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	101	CENSUS: 69	DATE:	03/18/2025
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Executive Director Angela Scott-Kapiloff		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff physically abused resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Angela Scott-Kapiloff.

On 02/28/25 it was alleged that a staff member (S2) physically abused a resident (R1). The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff members interviewed unanimously denied ever seeing another staff member hit a resident. Staff interviews revealed that R1 was experiencing a change in condition, resulting in a delusion that they were being hit and harassed by S2 and two other parties. The accused staff member, S2, was aware of the accusation and stated that they elevated it up their chain of command, providing proof that they had been promoted to a new position, resulting them not seeing R1 often. S2 also informed that were not working the day the incident was alleged to have occurred, which was corroborated by staff schedules during the timeframe of complaint. (Continued on LIC9099-C p.1)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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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Control Number 08-AS-20250228102124

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: GARDENS AT ESCONDIDO	FACILITY NUMBER: 374604545
	VISIT DATE: 03/18/2025

NARRATIVE

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(Continued from LIC9099)

Due to the accusation S2 stated that they intentionally avoided being near R1 to reduce R1's delusion that S2 was taunting them. Additional staff interviews revealed that the situation was not plausible to have occurred and that certain details of R1's story were found to be proven false. Staff believed that R1's progression of cognition decline likely caused them to merge both factual and fictitious events together, creating a situation that did not happen.

LPA interviewed R1 during an unannounced facility visit and R1 sustained that the incident occurred. However, R1 was not able to be completely qualified as a valid historian, due to R1 not being able to recall basic information, and offering statements during the interview that were implausible.

Two outside sources familiar with R1 were contacted regarding the allegation. One outside source confirmed being told by R1 that the event occurred, however no additional information was provided to them to corroborate the claim such as witnesses, date, time etc. The second outside source did not respond to requests for interview.

Facility records and medical records were reviewed regarding the allegation. The records revealed that R1 experienced a change in condition due to an acute infection, which resulted in unusual behavior and paranoia. Facility records showed that R1 was being monitored by staff due to the changes, and monitoring was continued throughout their medication regimen to resolve the infection.

The evidence indicates that R1 was experiencing a change in condition resulting in a delusion due to an acute infection. Records and interviews revealed that the incident was implausible due to specific details provided by R1 being proven untrue, and record evidence that the staff member in question was neither working the day of the incident in question and was also no longer in the position claimed.

Based on interviews, direct 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 was conducted with Executive Director Angela Scott-Kapiloff, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025

LIC9099 (FAS) - (06/04)

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