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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604649
Report Date: 01/14/2026
Date Signed: 01/14/2026 01:50:45 PM

Substantiated


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
01/06/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260106153022
FACILITY NAME:SAY YOU'RE HOME TOOFACILITY NUMBER:
374604649
ADMINISTRATOR:SAYRE, LISAFACILITY TYPE:
740
ADDRESS:5977 LAKE MURRAY BLVDTELEPHONE:
(619) 249-4114
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:6CENSUS: 6DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
06:25 AM
MET WITH:Licensee Lisa SayreTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee did not ensure staff were associated to facility
Licensee did not keep medications stored in original packaging.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to invistagte and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Lisa Sayre.

On January 06, 2026, Community Care Licensing Division (CCLD) received a complaint alleging that the Licensee did not ensure staff were associated with the facility and that the Licensee did not keep medications stored in their original packaging.

The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
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 5
Control Number 08-AS-20260106153022
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: SAY YOU'RE HOME TOO
FACILITY NUMBER: 374604649
VISIT DATE: 01/14/2026
NARRATIVE
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(Continued from LIC9099)

Regarding the allegation, the Licensee did not ensure that the staff were associated with the facility. More specifically, Staff #1 does not have Department background clearance and is employed at the facility. It was discovered through Department interviews with staff and residents, as well as records reviews. Staff #1 (S1) is currently employed at the facility. Review of the Department’s background clearance database revealed S1 was not associated to the facility and did not have a background clearance. Based on the evidence obtained, the deficiency was cited in an LIC 9099-D form. An immediate five-hundred-dollar ($500) civil penalty was assessed in an LIC 421BG form.

Regarding the allegation, Licensee did not keep medications stored in their original packaging. More specifically, It was reported that staff fill medication containers designated for residents and place the medications into 7-day pill organizers. During the facility tour LPA observed medications being stored in plastic containers with different sections for morning, noon, evening, and bed time. An interview with Staff #2 (S2) revealed that S2 transfers medications into the corresponding time residents are supposed to receive their medication. These medications were not stored in the original medication packages. LPA explained to the licensee that medications must not be transferred into different containers in this way and in accordance with licensing guidelines must stay in their original packaging. Based on evidence obtained , the licensee did not store medication in original containers, the deficiency was cited in an LIC 9099-D

Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation(s) occurred and are therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D) and an immediate civil penalty was assessed.

A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Licensee Lisa Sayre, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 08-AS-20260106153022
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: SAY YOU'RE HOME TOO
FACILITY NUMBER: 374604649
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2026
Section Cited
CCR
87355(e)(b)(2)
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87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by:
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Licensee agreed to obtain criminal records clearances for all new staff prior to employment. LIcensee stated S1 will no longer work at the facility until cleared. The LPA did not observe S1 at the facility, therefore, the POC was cleared on today's date.
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Based on interviews, and review of records, the Licensee did not ensure S1 had a criminal records clearance, which posed an immediate health, safety, and personal rights risk to 6 residents in care.
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Type B
02/16/2026
Section Cited
CCR
87465(h)(5)
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87465(h) The following requirements shall apply to medications which are centrally stored:(5)Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.
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Licensee states they will schedule outside source medication training and provide proof to LPA by POC.
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Based on records reviewed and interviews the licensee did not store medication in original containers which poses an potential Safety risk to 5 persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
01/06/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260106153022

FACILITY NAME:SAY YOU'RE HOME TOOFACILITY NUMBER:
374604649
ADMINISTRATOR:SAYRE, LISAFACILITY TYPE:
740
ADDRESS:5977 LAKE MURRAY BLVDTELEPHONE:
(619) 249-4114
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:6CENSUS: 6DATE:
01/14/2026
UNANNOUNCEDTIME BEGAN:
06:25 AM
MET WITH:Licensee Lisa SayreTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not provide incontinence care to residents
Staff did not reposition bedridden resident(s), per care plan
Staff provided care to residents while under the influence of alcohol

INVESTIGATION FINDINGS:
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LPA Amy Rodgers conducted an unannounced visit to invistage and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Licensee Lisa Sayre.

On January 6, 2025, Community Care Licensing Division (CCLD) received a complaint regarding the above allegations. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.

(Continued on LIC9099)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 08-AS-20260106153022
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: SAY YOU'RE HOME TOO
FACILITY NUMBER: 374604649
VISIT DATE: 01/14/2026
NARRATIVE
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(Continued from LIC9099)

Regarding the allegation that staff did not provide incontinence care to residents. More specially, It was alleged that staff failed to provide timely incontinence care to R1 as outlined in the care plan. Department interviews with staff revealed inconsistent responses—some staff stated care was provided as required, while others were unsure or gave conflicting accounts. Department interviews with outside sources indicated they had not observed any issues related to incontinence care for any residence. OS1 reported frequent visits to the facility, including body checks for R1, and stated they had not noticed any urine odors in the facility or from other residents.

Regarding the allegation that staff did not reposition bedridden resident(s) per care plan. More specifically, it was alleged that staff failed to reposition R2 according to the care plan schedule. Department interviews with staff revealed that all staff agreed they were following repositioning schedules and care plans, and that R2 was assisted out of bed almost daily. Department interviews with outside sources indicated they had not observed any problems related to repositioning. They further reported frequent visits to the facility and noted no skin issues concerning R2.

Regarding the allegation that staff #3 (S3) may have consumed alcohol while at the facility. Department interviews with staff indicated they did not witness S3 providing care while under the influence. Department interviews with staff indicated they did not observe S3 providing care while impaired or under the influence to a degree that would affect job performance, safety, or effectiveness, as prohibited by CCLD regulations. Interviews revealed that alcohol was present during a celebratory events at the facility, and some staff reported witnessing brief toasts. There was no indication that any staff, including S3, were impaired or that resident care was negatively impacted. Department interviews with outside sources indicated they had not observed any staff appearing impaired or under the influence of alcohol

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 Licensee Lisa Sayre 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 Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5