374604684-1-21-2026-08-AS-SJAB-DQWVQV-20260202153856

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604684
Report Date: 01/21/2026
Date Signed: 01/21/2026 04:51:35 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
06/03/2024 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20240603230623

FACILITY NAME:	GROSSMONT GARDENS MEMORY CARE		FACILITY NUMBER:	374604684
ADMINISTRATOR:	SUZETTE JOHNSON		FACILITY TYPE:	740
ADDRESS:	4960 MILLS STREET		TELEPHONE:	(619) 644-1100
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	64	CENSUS: 61	DATE:	01/21/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Executive Director Angela Scott- Kaplioff.		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Staff do not keep the facility free from a scabies outbreak
Staff are not properly reporting an incident involving the residents
Staff are not following infection control requirements

INVESTIGATION FINDINGS:

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LPA Rodgers conducted an unannounced visit to further invistigate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Angela Scott- Kaplioff.

On June 3, 2024, the Community Care Licensing Division (CCLD) received an online complaint alleging infection control concerns related to a scabies outbreak in the facility’s memory care unit. More specifically, the reporting party claimed a scabies outbreak within memory care affecting at least 20 residents in the prior month; the facility was not forthcoming with families, staff, or visitors; the facility was not isolating affected residents, and rashes were spreading, including to staff; and residents were confused and walking around itching and scratching.

The Department’s investigation consisted of a records review, interviews with staff, and interviews with outside sources. (continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

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-20240603230623

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 MEMORY CARE	FACILITY NUMBER: 374604684
	VISIT DATE: 01/21/2026

NARRATIVE

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(Continued form LIC9099)

The records review included Medication Administration Records (MARs) and Physician’s Orders for three residents (R1, R2, R3) residing in the facility, focusing on scabies-related treatments such as Permethrin and Ivermectin. Department records from an outside treating facility indicate that Residents #1–3 were treated for rash symptoms; a formal diagnosis of scabies was never documented, however, precautionary treatment was performed by the outside treating agency. The facility’s Infection Control Plan was reviewed and noted as last updated on July 7, 2023. The Department’s annual inspection in May 2024 revealed that extra linens, hygiene supplies, and Personal Protective Equipment were present. Interviews with multiple staff and residents during May 2024 did not reveal concerns that the facility was failing to follow its infection control plan. Further interviews with staff and an outside source indicated that staff were following infection control protocols.

The MARs and Physician’s Orders reviewed showed that R1, R2, and R3 received rash directed therapy in June 2024, including Permethrin (topical) and Ivermectin (topical and oral). Orders specified full-body topical application from neck to toes with shower-off instructions and repeat dosing intervals, consistent with commonly accepted scabies treatment practices. Times of treatments were documented for several residents.
The records alone do not confirm or refute communication practices with families, staff, or visitors. Due to the nature of cognitive abilities in a memory care setting, isolation measures would not typically be part of the Department’s or the facility’s protocol. The presence of timely treatment orders and administrations for multiple residents demonstrates the facility’s action to address residents with infectious conditions. With limited documentation beyond medication records, there is insufficient evidence at this time to establish that the facility failed to notify families or failed to follow infection control procedures.

Based on the records review, interviews with staff and an outside source there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegation is: UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Angela Scott- Kaplioff, 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: 01/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026

LIC9099 (FAS) - (06/04)

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