370804823-10-2-2026-08-AS-APAO-DYL7E7-20261005213526

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370804823
Report Date: 09/29/2026
Date Signed: 10/02/2026 07:46:31 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
04/21/2026 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20260421151925

FACILITY NAME:	ST. PAUL'S VILLA		FACILITY NUMBER:	370804823
ADMINISTRATOR:	ELEANOR DOWNING		FACILITY TYPE:	740
ADDRESS:	2340 FOURTH AVENUE		TELEPHONE:	(619) 232-2996
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92101
CAPACITY:	200	CENSUS: 109	DATE:	09/29/2026
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	LaTressa Downing Administrator		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Staff physically abused resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Administrator LaTressa Downing.

The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. On 4/21/26 it was alleged that Staff physically abused resident. Staff members interviewed denied ever witnessing or engaging in any form of physical abuse toward the resident. Staff consistently reported that interactions with the resident were appropriate, routine, and consistent with facility policies. Staff stated that the resident had not reported any physical mistreatment to them and that there were no incidents, injuries, or behavioral changes suggesting physical abuse. Staff further reported that all care provided to the resident was documented, and no entries reflected any concerning interactions.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

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-20260421151925

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: ST. PAUL'S VILLA	FACILITY NUMBER: 370804823
	VISIT DATE: 09/29/2026

NARRATIVE

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[Continued from LIC9099]

Residents interviewed stated that they had no concerns regarding staff behavior toward themselves or other residents. All residents reported that staff treat them respectfully and assist them appropriately with care needs. Residents interviewed stated they had not observed any staff physically mishandling or mistreating the resident identified in the allegation. No resident reported witnessing or experiencing physical abuse within the facility.

Outside sources, including individuals knowledgeable about the resident’s condition and recent care, stated that they do not believe physical abuse had occurred. Outside sources reported observed injuries related to a fall but not physical abuse. OS1 stated that R1 was having increased behavioral outburst and hallucinations. OS2 reported that the resident’s condition and presentation were consistent with their known medical history

A review of resident records, including progress notes, incident reports, and care documentation, revealed no entries supporting the allegation. The documentation in R1's records was regarding an unwitness fall. R1 was experiencing increased hallucinations and Borderline Personality Disorder.

Based on LPA's interviews, observations and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with LaTressa Downing, Executive Director to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2026

LIC9099 (FAS) - (06/04)

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