374604684-3-3-2026-08-AS-APAO-DRZ59K-20260308194538

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604684
Report Date: 03/03/2026
Date Signed: 03/03/2026 05:44:37 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
02/16/2026 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20260216152140

FACILITY NAME:	GROSSMONT GARDENS MEMORY CARE		FACILITY NUMBER:	374604684
ADMINISTRATOR:	SCOTT-KAPLIOFF, ANGELA		FACILITY TYPE:	740
ADDRESS:	4960 MILLS STREET		TELEPHONE:	(619) 644-1100
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	64	CENSUS: 60	DATE:	03/03/2026
		UNANNOUNCED	TIME BEGAN:	04:15 PM
MET WITH:	Executive Director Angela Scott-Kapilof.		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Staff leaves residents soiled for extended periods of time.
Staff does not ensure residents' showering needs are being met.
Staff does not ensure residents' are provided daily activities.

INVESTIGATION FINDINGS:

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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 2/16/2026, the Department received a complaint regarding the above mentioned alligations.

Regarding the allegation: Staff leaves residents soiled for extended periods of time, specifically, residents are walking around soiled and ignored. Department interviews with staff, including caregivers, med techs, the assessment nurse, and the Resident Services Director, consistently indicated that incontinent residents are checked and changed frequently, with toileting schedules occurring every 1-2 hours and as needed. During multiple unannounced visits, the Department did not observe any odors of urine or feces and observed staff actively responding to residnets incontinence needs.. Department interviews with outside sources did not report concerns regarding prolonged soiling. (continued on LIC9099C)

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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Control Number 08-AS-20260216152140

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: 03/03/2026

NARRATIVE

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(Continued from LIC9099)

Regarding the allegation: Staff does not ensure residents’ showering needs are being met, specifically, residents goes without showers because they don’t have enough people to help. Department interviews with staff reported that residents are scheduled for showers twice weekly or more frequently based on individual needs. Some residents choose to take fewer showers, while others require multiple showers due to incontinence episodes. LPA observed shower schedules were posted and interviews confirm the schedule is being followed. Throughout several unannounced visits, the Department observed residents to be clean, well groomed, and without signs of neglect. Department interviews with outside sources reveal observations of residents well groomed and clean.

Regarding the allegations: Staff do not ensure residents are provided daily activities specifically, no activities were observed. Department staff interviews, management statements, and outside source observations indicate a full daily activity program is offered, with engagement documented throughout the day. During onsite observations, residents were seen participating in balloon tennis, puzzles, group activities, TV programs, and supervised leisure time. Evening hours were described as “calming periods,” which the Department confirmed through observation. Department interviews with outside sources reveal seeing regular activities during their visits.

Based upon the information obtained during the investigation it is determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the violations 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.

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

LIC9099 (FAS) - (06/04)

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