374604923-2-27-2026-08-AS-JROO-DRSU4F-20260302141504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604923
Report Date: 02/27/2026
Date Signed: 02/27/2026 04:53:47 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
01/14/2026 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20260114113634

FACILITY NAME:	OHANA CARE HOME II		FACILITY NUMBER:	374604923
ADMINISTRATOR:	ISO, SEIKO		FACILITY TYPE:	740
ADDRESS:	16031 POMERADO ROAD		TELEPHONE:	(619) 788-6505
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	15	CENSUS: 10	DATE:	02/27/2026
		UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:	Caregiver Momoko Tatesaka		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility has not been paying the rent.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Correia conducted a follow-up visit to conclude a complaint investigation. LPA was greeted by Caregiver Masako Mori identified herself, was granted entry, and met with CaregiveTatesaka, to whom the purpose of the visit was explained.

The investigation included interviews with staff, residents, and outside sources, as well as a review of facility and outside source records.

On January 14, 2026, the Department received a complaint alleging that the Licensee was not paying rent to the property owner of a Residential Care Home for the Elderly (RCFE). An interview was conducted with an Outside Source (OS1) who reported they currently had no association with the facility or property.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

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-20260114113634

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: OHANA CARE HOME II	FACILITY NUMBER: 374604923
	VISIT DATE: 02/27/2026

NARRATIVE

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OS1 explained that the Facility’s landlord (OS2) called them for advice because the licensee had stopped paying facility rent. OS1 explained that OS2 issued an eviction and the report was filed out of concern for the welfare of the residents. On January 21, 2026 the Department contacted OS2 who corroborated that they were the legal owner of the

grounds and that they were in legal mediation with the licensee. According to OS2, the licensee leased the property “as-is,” had not complied with the mediation agreement, and rent was owed for December 2023 through April 2024. OS2 admitted that the eviction was issued but not held up in court. The lease was set to expire in August of 2026 and would not be renewed if the licensee did not pay.

A file review revealed that the Licensee became the owner of the business (facility) on June 17, 2025 after purchasing the facility from OS2, who became the property landlord due to retaining legal ownership of the building and grounds. The Licensee had a signed lease agreement on file with OS2.

On January 21, 2026, a facility visit was conducted to initiate the investigation. During the visit, records were secured, and interviews were conducted which corroborated that an eviction notice was served, however there was conflicting information regarding the allegation. Immediate deficiencies were revealed and cited see Case Management- deficiencies visit dated 1/21/26] and the licensee was called to the San Diego Regional Office (SDRO) to meet with the Regional Manager to clarify the Licensee’s legal right to occupy the premises (control of property).

On the same day, the licensee appeared to the office along with their attorney (OS4). During the meeting (see Case-management –office visit dated 1/21/26), legal documentation was provided which demonstrated an ongoing legal dispute between the Licensee and the former owner and current landlord (OS2). The licensee confirmed that they stopped paying rent due to OS2’s failure to meet the terms of their legal agreements, and OS4 corroborated several existing issues regarding city code compliance that were not identified until after the facility’s change of ownership.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260114113634

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: OHANA CARE HOME II	FACILITY NUMBER: 374604923
	VISIT DATE: 02/27/2026

NARRATIVE

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Court documents were also provided to show that both parties had been participating in mediation and that the eviction notice had been dismissed. The Licensee further explained that due to the ongoing legal conflict, they decided to move the facility to a new location for which an application was pending with the Department while the legal dispute continued. On January 27, 2026, the SDRO submitted a formal request to expedite the licensee’s application.

Due to the dismissal of the eviction, ongoing mediation, and the pending legal dispute, there was not a preponderance of evidence to prove the allegation. The complaint is unsubstantiated and no deficiencies were cited.

An exit interview was conducted with Caregiver Tatesaka, A copy of this report (LIC 9099) and the Licensee Rights (LIC 9058) will be provided at the conclusion of the visit. Signature below confirms receipt of these documents.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

LIC9099 (FAS) - (06/04)

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