374604545-5-20-2025-08-AS-LTEZ-DH6W3W-20250530165637

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604545
Report Date: 05/20/2025
Date Signed: 05/20/2025 03:35:30 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
05/16/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250516142641

FACILITY NAME:	GARDENS AT ESCONDIDO		FACILITY NUMBER:	374604545
ADMINISTRATOR:	MONICA FLORES		FACILITY TYPE:	740
ADDRESS:	1342 NORTH ESCONDIDO BLVD		TELEPHONE:	(760) 480-8155
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	101	CENSUS: 4	DATE:	05/20/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Executive Director Monica Flores		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Licensee did not allow resident access to telephone.
Licensee did not allow resident to leave facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Monica Flores.

On 05/16/2025 it was alleged that Licensee did not allow Resident 1 (R1) access to a telephone and did not allow R1 to leave the facility. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, outside sources, and records review. Staff interviews consistently revealed that R1 was allowed to receive phone calls from outside parties and family and that the facility assisted with the communication. Additionally staff informed that R1 had a personal cell phone in their possession that they used, and sometimes misplaced around the facility.

Outside source interviews did not corroborate the allegation, as outside sources informed that they had directly observed the facility assisting R1 with phone calls. (Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

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-20250516142641

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: 05/20/2025

NARRATIVE

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(Continued from LIC9099 p.1)

Outside sources informed that R1 no longer had the mental capacity to sign an updated Power of Attorney document that would have restricted communication.

R1 was interviewed during the facility visit. R1 informed that they enjoyed living at the facility and that they were able to communicate with their family and friends freely. R1 did not express any concerns about living at the facility.

No records were found to show that R1 was restricted from communicating with family, friends, practitioners, or any other outside person.

Regarding the allegation, "Licensee did not allow resident to leave facility", staff interviews revealed that R1 was not able to leave the facility unassisted due to cognition, however R1 was able to leave with an escort, which had been done many times. Staff informed that a family member typically arranged for R1 to be picked up from the facility and brought back.

During interview R1 informed that they remained at the facility most of the time, but their family came to visit them. R1 did not express concern regarding the facility allowing them to leave the facility.

An outside source (OS1) familiar with R1 informed that R1 suffered from diminished capacity but was able to leave the facility with someone. OS1 informed that the facility had not prevented R1 from leaving the facility with an escort. A second outside source, OS2, corroborated staff statements that R1 was not allowed to leave the facility by themselves due to cognition.

Review of facility and outside source records showed inconsistent determinations regarding R1's mental capacity, however, R1's Physician's Report specifically indicated that R1 was not allowed to leave the facility unassisted due to cognition.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Monica Flores, 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: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

LIC9099 (FAS) - (06/04)

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