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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604841
Report Date: 02/10/2026
Date Signed: 02/10/2026 11:02:25 AM

Substantiated


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
02/02/2026 and conducted by Evaluator Carmen Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20260202151918
FACILITY NAME:GREAT GOLDEN SENIOR LIVINGFACILITY NUMBER:
374604841
ADMINISTRATOR:DORVILUS, ROSEFACILITY TYPE:
740
ADDRESS:496 HIGHTREE PLTELEPHONE:
(619) 394-9731
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:6CENSUS: 3DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Rose Dorvilus, AdministratorTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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- Licensee did not ensure facility grounds were properly maintained
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to open a complaint investigation. While at the facility, LPA investigated and delivered findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by Metanie Mossirel, caregiver. LPA stated the purpose of the visit and reviewed the findings of the complaint with Administrator Rose Dorvilus.

The Department’s investigation consisted of interview with staff and LPA observations. On February 2, 2026, it was specifically said that the facility did not ensure their trash was disposed of inside a tight-fitted bin, which overflowed, causing malodorous smells to protrude into the community on hot days and cockroaches around the bin. It was said that the home did spray the cockroaches but may result in additional rodents. During today’s visit, LPA spoke with the Administrator who said they were aware of their trash overflowing but had already spoken to the city numerous times, but they were on the verge of changing the bins and was unsure if their request would go through.

(Continuation on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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 3
Control Number 08-AS-20260202151918
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: GREAT GOLDEN SENIOR LIVING
FACILITY NUMBER: 374604841
VISIT DATE: 02/10/2026
NARRATIVE
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(Continuation of LIC9099)

The Administrator said that they had spoken to the city last week and they had informed them they would need to wait approximately 3 days after their new bin arrived to order another bin. They recently received their new bins on Thursday, February 5, 2026, and were in the process of ordering their second bin. During today’s visit, LPA did observe that the facility’s trash bin was overflowing.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff interviews, and LPA observations, there is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D page of this report.

The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Administrator Rose Dorvilus. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Administrator Dorvilus at the conclusion of the visit. The signature below confirms the receipt of these documents.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20260202151918
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: GREAT GOLDEN SENIOR LIVING
FACILITY NUMBER: 374604841
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2026
Section Cited
CCR
87303(f)
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87303 (f) Maintenance and Operation: All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents… this requirement was not met as evidence by:
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Administrator will be purchasing a new trash bin with a lid and send LPA a photo of the new bin purchased, by POC due date, 4/24/26. Licensee also agreed to continue to contact the city to ensure their request is processed.
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Based on interviews and observations, the facility did not ensure their trash was disposed of in a tight-fitted bin, which posed a potential personal rights risk to 3 of 3 residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3