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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 08/27/2025
Date Signed: 08/27/2025 05:12:45 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
07/15/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250715134301
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:
08/27/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator Lynn TorinoTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff handles resident in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to further investigate and deliver findings for a complaint investigation. LPA was met by and granted entry into the facility by Adminstrator Lynn Torino, with whom the purpose of the visit was discussed.

On July 15, 2025, Community Care Licensing (CCL) received an allegation that a staff member handled residents in a rough manner. More specifically, it was alleged that Staff #1 (S1) handled Resident #1 (R1) roughly while changing bedding with the resident still in bed. The investigation included department observations, interviews with staff and residents.

(Continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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-20250715134301
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: 08/27/2025
NARRATIVE
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(continued from LIC9099)


During the department’s interview, R1 stated that S1 is “just always too much in a rush,” but did not report any injury, pain, or prior incidents. R1 had not previously reported the concern to facility staff.  A review of R1's records and staff interviews indicate R1 has limited mobility, prefers to remain in her bed all day, and does not socialize in the community.  Staff reported R1 has a history of stating staff handle them roughly even when staff is not touching R1. The Department interviewed residents on the same floor as R1 and they consistently deny any staff member has handled them roughly or observed staff handling residents roughly. The Executive Director reports that no complaints had been received regarding S1 or staff handling R1 roughly, and confirmed S1 was reassigned to a different floor following an observation related to an unrelated matter.

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 allegation. The allegation was deemed unsubstantiated.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator Lynn Torino whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]

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

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2