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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604690
Report Date: 02/19/2025
Date Signed: 02/19/2025 11:14:04 AM

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
06/11/2024 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20240611143909
FACILITY NAME:CARROLL'S RESIDENTIAL CAREFACILITY NUMBER:
374604690
ADMINISTRATOR:MEYERS, BRYANFACILITY TYPE:
740
ADDRESS:655 S MOLLISON AVETELEPHONE:
(619) 444-3181
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:144CENSUS: 126DATE:
02/19/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Sarita Mendoza, Administrator AssistantTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Staff did not ensure residents were seen by a physician
Staff are threatening resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced visit regarding the above-mentioned allegations. LPA was allowed entry by Brian Meyers, Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the complaint with the Administrator and delivered findings.

This report is updated for July 29, 2024, when LPA conducted additional interviews. Staff 1 (S1): S1 stated that on the day of the incident, they witnessed Resident 1 (R1) enter a room, visibly upset, and yelling about not seeing a doctor. S1 noted that the Administrator told R1, "Not now, I'm in a meeting, and I'll speak with you when I'm done." R1 continued to express frustration. The Administrator asked R1 to leave, assuring they would discuss the issue later. R1 left the room upset but was calm after the Administrator spoke to them that afternoon.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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-20240611143909
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: CARROLL'S RESIDENTIAL CARE
FACILITY NUMBER: 374604690
VISIT DATE: 02/19/2025
NARRATIVE
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Resident 2 (R2): R2 reported no issue with seeing a doctor and did not witness any threats by staff towards residents. R2 acknowledged hearing R1 talk about complaining due to not seeing a physician. R1 did not have a medical need that could required immediate attention from the doctor at the time of the visit. R1 had left the line on multiple occasions which led to them not being seen by the doctor on the day of the incident.

Based on the investigation findings, the allegations made against the facility are unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Sarita Mendoza, Administrator Assistant. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator Assistant and her signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2