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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604633
Report Date: 11/13/2025
Date Signed: 11/13/2025 11:54:46 AM

Unfounded


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
11/04/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20251104102056
FACILITY NAME:POWAY GARDENS SENIOR LIVING - MOUNTAIN VISTASFACILITY NUMBER:
374604633
ADMINISTRATOR:WILLIAMS, DONELLEFACILITY TYPE:
740
ADDRESS:12695 MONTE VISTA ROADTELEPHONE:
(658) 674-1255
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:32CENSUS: 8DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Executive Director (ED) Melissa WatkinsTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff unlawfully evicted a resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. Upon arrival, LPA was greeted by Executive Director (ED) Melissa Watkins, identified herself, and explained the purpose of the visit.

The Department’s investigation included staff interviews, a review of facility and resident records, and a review of the facility file.

On November 4, 2025, the Department received a complaint alleging an unlawful eviction of Resident 1 (R1) due to non-payment. On June 25, 2025, the ED issued a 30-day eviction notice to R1, their Power of Attorney (POA), the Long-Term Care Ombudsman (LTCO), and Community Care Licensing (CCL). A review of facility records showed R1’s last payment was received on November 8, 2023.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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-20251104102056
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: POWAY GARDENS SENIOR LIVING - MOUNTAIN VISTAS
FACILITY NUMBER: 374604633
VISIT DATE: 11/13/2025
NARRATIVE
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The ED reported that multiple attempts were made over the past two years to contact the POA, who resides out of state, with no success. Facility records show several reports of suspected elder financial abuse and abandonment by the POA were submitted to appropriate agencies. The ED also notified relevant outside agencies of the eviction.

Due to R1’s cognitive condition, staff and outside sources confirmed R1 is unable to make informed decisions regarding their care or housing. The facility has been unable to locate current contact information for R1’s POA or family.

On September 25, 2025, the ED pursued legal action and filed a Notice to Quit. On November 7, 2025, the Sheriff’s Department issued a notice to vacate, and further attempts were made to notify the POA.

Based on interviews and record reviews, the facility followed proper procedures in accordance with California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, and continued to provide care and supervision to R1. Therefore, the allegation is unfounded.

An exit interview was conducted, and a copy of this report and the Licensee Appeal Rights (LIC 9058) was provided to ED Watkins. Her signature on this report acknowledges receipt of both documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2