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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 07/07/2025
Date Signed: 07/08/2025 08:02:04 AM

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
04/30/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250430130239
FACILITY NAME:GROSSMONT GARDENS SENIOR LIVINGFACILITY NUMBER:
374604675
ADMINISTRATOR:JONES, REGINALDFACILITY TYPE:
740
ADDRESS:5480 MARENGO AVETELEPHONE:
(619) 463-0281
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:425CENSUS: 365DATE:
07/07/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Health Services Director, Stacy TinocoTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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Staff did not keep the facility free from odors
Staff did not keep the facility clean and sanitary
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above-mentioned allegations. LPA met with Health Services Director, Stacy Tinoco.

During the investigation, the facility was briefly tourede, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged that staff did not keep the facility free from odors. It was reported there were devices on the walls that continually emit very strong, toxic chemical sprays throughout the lobby of the main administration building. On 05/07/25, LPA observed a small device affixed to the wall but there was no fragrance being emitted. The Executive Director’s (ED) interview confirmed the facility was contracted with a professional company that monitored the device. The devices were small diffusers that emit an oil-based fragrance, nothing toxic. The ED stated they discontinued the use of the diffuser on 04/30/25 due to one resident having an issue with it. The facility no longer has an active contract with the professional fragrance company. ED confirmed no other residents were affected by the scent. Continued on an LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
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-20250430130239
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: GROSSMONT GARDENS SENIOR LIVING
FACILITY NUMBER: 374604675
VISIT DATE: 07/07/2025
NARRATIVE
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Staff interviews confirmed the fragrance was no longer in use and there have been no complaints of the odor/fragrance. Resident interviews also confirmed there were no concerns over the fragrance. Family members of residents were also interviewed and did not have any concerns over the fragrance from the small diffusers.

It was also alleged that staff did not keep the facility clean and sanitary. It was reported there was feces in the washing machine located in the West Building, and dirt on the carpet. Staff reported the laundry room located in the West building is used by independent residents. The West Building laundry room also has an area that items can be rinsed prior to washing if needed. Housekeeping staff confirmed they clean the laundry rooms daily and have not observed feces in the machine. One resident reported there was feces in the machine but unable to report date. Additional resident interviews confirmed feces have not been observed in the washing machines. Staff confirmed the facility is cleaned daily and there was no dirt on the carpets. The housekeeping staff confirmed the vacuum cleaners are working. On 05/07/25, LPA observed common areas and some resident rooms, there was no observation of dirt or debris on the carpets.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Health Services Director, Stacy Tinoco whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
LIC9099 (FAS) - (06/04)
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