374604831-1-22-2026-08-AS-SJAB-DR2UNH-20260206144357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604831
Report Date: 01/22/2026
Date Signed: 01/22/2026 02:34:27 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
01/07/2026 and conducted by Evaluator Angelica Boyles

COMPLAINT CONTROL NUMBER: 08-AS-20260107163509

FACILITY NAME:	ASSISTED LIVING AT WOODBURN		FACILITY NUMBER:	374604831
ADMINISTRATOR:	ESSERY, RICHARD		FACILITY TYPE:	740
ADDRESS:	1727 WOODBURN ST		TELEPHONE:	(858) 263-5626
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	6	CENSUS: 5	DATE:	01/22/2026
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Administrator Sandy Wilson		TIME COMPLETED:	02:32 PM

ALLEGATION(S):

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Staff does not esure facility is free of mold.
Staff does not ensure facility is free of garbage.
Staff does not ensure facility is in good repair.

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 allegations. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Sandy Wilson.

On January 7, 2026 the Department received this complaint which alleged that staff does not ensure facility is free of mold, staff does not ensure facility is free of garbage, and staff does not ensure facility is in good repair. The Department’s investigation included a facility tour, as well as interviews with residents and staff.

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

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-20260107163509

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: ASSISTED LIVING AT WOODBURN	FACILITY NUMBER: 374604831
	VISIT DATE: 01/22/2026

NARRATIVE

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(Continued from LIC9099)

Regarding the allegation that staff does not ensure facility is free of mold, during two unannounced visits, LPA toured the interior and exterior of the facility and inspected each room as well as all of the windows and doors. LPA did not observe any mold nor were there any malodors suggesting mold was present. Interviews with staff and residents did not report observing of mold in the facility or having any concerns.

Regarding the allegation staff does not ensure facility is free of garbage, during two unannounced visits, LPA toured the interior and exterior of the facility. LPA did not observe any garbage throughout the facility. Garbage was observed to be contained inside appropriate garbage receptacles. Interviews with staff and residents did not report any concerns regarding there being garbage throughout the facility.

Regarding the allegation that staff does not ensure facility is in good repair, during two unannounced visits, LPA toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. LPA did not observe any leaks or anything that was indicative of the facility being in disrepair. Interviews with staff and residents did not report observing the facility in disrepair, nor having any concerns regarding the state of the facility.

The Department has investigated the above mentioned allegations. Based upon interviews and LPA observations during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated. An exit interview was conducted with Administrator Sandy Wilson, 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: 01/22/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

LIC9099 (FAS) - (06/04)

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