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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 11:16:23 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
06/07/2024 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20240607145040
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:
11:05 AM
MET WITH:Sarita Mendoza, Administrator AssistantTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff do not prevent residents from smoking in prohibited areas
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 Sarita Mendoza, Administrator Assistant. LPA identified herself and disclosed the purpose of the visit and elements of the complaint with the Administrator Assistant and delivered findings.

The facility has designated areas for smoking with no smoking signs posted in areas not deemed as designated. Observation of the facility did not reveal residents smoking in areas not designated for smoking. The facility policy addressed smoking in designated areas only.

On July 29, 2024, while conducting an Annual 1-year Visit. No residents were observed smoking in non-designated areas. Residents were on the second patio away from the dining hall in the designated smoking area.
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-20240607145040
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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One resident who was interviewed stated " I don't smoke, I just have a lighter for some of the residents who don't have a lighter. They smoke in the front of the building in the corner and on the patio in the back. " LPA interviewed additional Residents who all confirmed that sometimes some residents smoke in front of the building, but for the most part, they use the designated smoking patio. They are aware of the areas where smoking is not allowed. "We can smoke on the patio as long as the doors are closed, for those who use oxygen tanks." However, residents do not smoke on the patio by the dining hall.

Based on the investigation findings, the allegation made against the facility is 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)
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