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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604684
Report Date: 03/03/2026
Date Signed: 03/03/2026 05:23:08 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
02/19/2026 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20260219061503
FACILITY NAME:GROSSMONT GARDENS MEMORY CAREFACILITY NUMBER:
374604684
ADMINISTRATOR:SCOTT-KAPLIOFF, ANGELAFACILITY TYPE:
740
ADDRESS:4960 MILLS STREETTELEPHONE:
(619) 644-1100
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:64CENSUS: 60DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Executive Director Angela Scott- KapiloffTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
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9
Facility staff are not following reporting requirements
INVESTIGATION FINDINGS:
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2
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5
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9
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13
LPA Amy Rodgers conducted an unannounced visit to deliver complaint findings and explained the purpose of the visit to Executive Director Angela Scott-Kapilof. The investigation included reviews of facility and outside records, and interviews with staff and outside sources.
On 2/19/2026, the Department received a complaint alleging that facility staff were not following reporting requirements, specifically that management instructed staff not to document incidents in the internal reporting system.
Department interviewed multiple staff regarding reporting practices. Staff consistently described documenting incidents in the electronic system, notifying the POA, and escalating concerns as needed. Staff did not report being instructed to withhold documentation. Department review of recent in-service trainings and staff interviews reveal management has been reinforcing guidance on objective, factual documentation.
Department review of incident reports, progress notes, and related documents revealed no gaps or indicators of withheld information. LPA observations and outside source interviews showed no discrepancies between staff statements, written records, or required notifications.
Based upon the information obtained during the investigation it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the violation occurred and is therefore UNSUBSTANTIATED. An exit interview was conducted with ED Angela Scott- Kapiloff and copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
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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