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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 08/18/2025
Date Signed: 08/18/2025 01:40:04 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
08/11/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250811101732
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: 362DATE:
08/18/2025
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH: Executive Director, Reginald Jones.TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff not following resident’s dietary needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Amy Rodgers, conducted an unannounced inspection visit to initiate a complaint investigation. LPA was met by, granted entry into the facility and discussed the visit with Executive Director, Reginald Jones.

On August 11, 2025 Community Care Licensing (CCL) received a allegation that the staff were not following the resident’s dietary needs. More specifically, resident #1(R1) has elevated blood sugar levels due to the facility not providing a specific diet. The investigation included a review of resident records, including physician reports and care plans, interviews with facility staff, and observations of meal service.

The facility is required to provide meals that meet the nutritional needs of residents and accommodate prescribed dietary modifications. The facility is also required to provide necessary care and supervision to meet residents’ needs, including dietary needs. (continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
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-20250811101732
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: 08/18/2025
NARRATIVE
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(continued from LIC9099)

Resident records reviewed during the investigation indicated that residents with diabetes had physician-prescribed dietary modifications documented in their care plans. Interviews with Food Service Directory and caregivers confirmed that meals were prepared with consideration for diabetic residents, including portion control and reduced sugar options. Observations during meal service showed that residents were offered appropriate food choices consistent with their dietary needs. R1's interviewed did not express concerns about the meals provided and expressed they have personal rights to make food choices.

The Department has investigated the above-mentioned allegation and based on interviews and records review no evidence was found to support the allegation staff were not following the R1's dietary needs, the preponderance of the evidence has not been met, therefore, this allegation is deemed UNSUBSTANTIATED.

A copy of this report along with licensee rights was given to Executive Director, Reginald Jones whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2