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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604690
Report Date: 04/29/2026
Date Signed: 04/29/2026 11:06:23 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
03/02/2026 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20260302141339
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: 129DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Sarita Mendoza, Assistant ManagerTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff are not meeting resident's dental needs
Staff did not seek timely medical care for resident
Staff are withholding resident's money
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings regarding the above-mentioned allegations. LPA was allowed entry by the Assistant Manager. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Assistant Manager.

On March 2, 2026 the Department received a complaint alleging that: Staff are not meeting resident's dental needs, Staff did not seek timely medical care for resident, Staff are withholding resident's money. LPA conducted interviews and reviewed records regarding allegations.

Regarding medical care, staff reported that Resident 1’s (R1) case manager is responsible for coordinating medical appointments and transportation. Information obtained indicates that R1 had previously been hospitalized, and there was no evidence of any untreated or ongoing medical condition requiring immediate follow-up care.

Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
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-20260302141339
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: 04/29/2026
NARRATIVE
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The facility reported that in the absence of a responsible party, staff will assist with transportation. The facility operates as a board and care, where residents are ambulatory, independent with activities of daily living (ADLs), and able to leave the facility freely. The facility provides medication management within its scope. LPA attempted to contact R1’s case manager but did not receive a response. There is no evidence that staff failed to seek or delayed necessary medical care.

Regarding dental care, documentation shows that on 02/11/2026, staff submitted a referral to R1’s case manager requesting assistance in establishing a dental provider and scheduling an appointment, as R1 does not have an established dentist. R1 confirmed they are waiting to be seen by a dentist. Delays appear related to coordination with the case manager and lack of established providers, not due to inaction by facility staff.

Regarding financial management, documentation from the designated payee indicates that R1 independently cashes their Personal and Incidental (P&I) funds in the amount of $100 twice per month. R1 confirmed receipt and use of these funds. R2 stated that they assist R1 with transportation and occasionally provide money when R1 spends their funds. R1 confirmed this and expressed that their monthly funds are insufficient. There is no evidence that facility staff are withholding R1’s money.

Additional information obtained indicates that R1 requires identification documents, including a state ID and Social Security card, which are reportedly maintained by the case manager. Staff and R2 indicated that efforts have been made to assist R1; however, lack of access to these documents may be contributing to delays in accessing services such as dental care. On April 29, 2026, LPA verified that R1 has a dental appointment scheduled for June 2, 2026.

Based on interviews conducted and records reviewed, the allegations that staff did not seek timely medical care, failed to meet dental needs, and withheld resident funds are unsubstantiated. An unsubstantiated finding means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Assistant Manager. Her signature on this form confirms receipt of the documents.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2