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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 10/03/2025
Date Signed: 10/03/2025 05:35:42 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
06/16/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250616152810
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: 375DATE:
10/03/2025
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Executive Director, Reginald JonesTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff did not ensure medications were given as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud, contacted the facility via telephone, to conclude the complaint investigation regarding the above-mentioned allegation. LPA spoke with Executive Director, Reginald Jones.

During the investigation, LPA briefly toured the facility, reviewed records, and interviewed staff, residents and outside sources. It was alleged staff did not ensure medications were given as prescribed. Outside Source (OS) reported Resident #1 (R1) has a medication order on file that indicated the medication be administered at 9am. However, staff are administering the medication 1-2 hours later. In the East Building of the facility, the second floor has one (1) medication technician for fifty (50) residents. For most medications, it is acceptable to take a dose up to 1-2 hours later. The facility dispensed the medications within a reasonable time frame. Residents received their prescribed medications. Medication Technician (med tech) explained, if assistance was needed during the dispensing of medications, another med tech would assist. Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
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-20250616152810
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: 10/03/2025
NARRATIVE
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The Executive Director (ED) explained they assessed their staffing schedule and determined another med tech was not needed on the schedule. The ED confirmed if assistance is needed, another med tech from a different floor would assist. R1’s interview confirmed they are receiving their medications on time or within a 1–2 hour time frame. R1 also admitted they refuse medications in the morning because they prefer to sleep in. A review of R1’s Medication Administration Records reflected R1’s refusals of medications. The med tech’s interview revealed that when a resident refuses their medications, it’s documented, and the physician and family are notified. Once reported to the physician, only the physician can make the determination if the medication will continue, be modified or discontinued. A review of the internet for WebMD indicated a 2-hour medication window; if it’s been less than 2 hours since the missed/refused dose, to take it; then keep taking later doses as usual.

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 via telephone and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Reginald Jones.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
LIC9099 (FAS) - (06/04)
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