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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604818
Report Date: 11/24/2025
Date Signed: 11/25/2025 09:18:24 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
10/20/2025 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20251020091351
FACILITY NAME:EPIC ASSISTANCE CARE HOME 4FACILITY NUMBER:
374604818
ADMINISTRATOR:MESDJIAN, LIZAFACILITY TYPE:
740
ADDRESS:1061 E BRADLEY AVETELEPHONE:
(818) 220-0282
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:15CENSUS: DATE:
11/24/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Silvana HuertaTIME COMPLETED:
12:12 PM
ALLEGATION(S):
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Facility is not meeting resident needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Silvana Huerta.

On October 20, 2025 the Department received this complaint which alleged the facility is not meeting Resident #1’s (R1) needs. Specifically, that R1’s needs are not being met due to their wheelchair not fitting through the interior doorways of the facility. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff and outside sources.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
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-20251020091351
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: EPIC ASSISTANCE CARE HOME 4
FACILITY NUMBER: 374604818
VISIT DATE: 11/24/2025
NARRATIVE
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(Continued from LIC9099)

Per interview with R1, before being admitted to the facility, the dimensions of the wheelchair were taken and facility staff told R1 that their wheelchair would not fit through the interior doorway into the hallway, but could exit exterior doorway to outside and access other parts of the facility by entering through the front or back door. An interview with facility staff corroborated having this discussion with R1 prior to being admitted to the facility. Per interview with R1, this has not impacted their needs being met. Additionally, R1 and facility staff reported R1 was expected to get a new wheelchair with dimensions that would allow passage through interior doorways. Additionally, during a subsequent unannounced visit, LPA observed R1 in the new wheelchair able to go through the interior doorways of the facility.

The Department has investigated the allegation that the facility is not meeting R1's needs. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate this allegation and therefore deemed unsubstantiated.

An exit interview was conducted with Administrator Silvana Huerta, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2