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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370804865
Report Date: 08/14/2026
Date Signed: 08/14/2026 11:06:55 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
10/06/2020 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20201006150632
FACILITY NAME:CARROLLS RESIDENTIAL CAREFACILITY NUMBER:
370804865
ADMINISTRATOR:BRYAN MEYERSFACILITY TYPE:
740
ADDRESS:655 S MOLLISONTELEPHONE:
(619) 444-3181
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:0CENSUS: 0DATE:
08/14/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Sarah Mendoza, Office ManagerTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Lack of supervision resulting in Client being inappropriately touched by another Client.
Licensee did not follow reporting requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted a phone interview with the Licensee/Administrator to deliver the findings regarding the complaint investigation.

It was alleged that neglect/lack of supervision resulted in sexual abuse of a resident in care and that the licensee did not follow reporting requirements.

The Department’s investigation consisted of interviews and record review. Investigation revealed that on 10/04/20, at about 2030 hours, Resident #1 (R1) reported to Staff #2 (S2) that her roommate Resident #2 (R2) had inappropriately touched her while R1 was showering. R1 also reported that R2 made sexual comments that made R1 feel uncomfortable due to her own history of sexual abuse. S2 agreed to move R1 to another room temporarily for the night until management could arrange a permanent solution for R1.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
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-20201006150632
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: CARROLLS RESIDENTIAL CARE
FACILITY NUMBER: 370804865
VISIT DATE: 08/14/2026
NARRATIVE
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The following day, Staff #1 (S1) spoke to R1 and R2 about the incident. S1 was unable to move residents around and asked they stay one more night in the room. S1 had caregivers check on R1 and suggested leaving the door open. Later that evening R1 reported to S2 that she felt uncomfortable in the room with R2 and again requested to stay in a different room, all rooms were occupied and S2 was unable to accommodate R1.

On 10/06/20 at 0830 hours, R2 was moved out of the shared room and R1 was able to occupy the room alone. No further incident occurred after the move and both residents continued to reside at the facility. The staff provided timely accommodations to resident R1 the first night she reported the incident and attempted to find a safe solution within reasonable timely manner. However, management allowed alleged suspect R2 to remain in the same room the second night with R1 placing her in an unsafe situation and failed to provide adequate supervision or care after she reported again to staff of feeling unsafe with R2. A review of the incident report submitted by S1 revealed that S1 failed to report the details of the inappropriate interaction and failed to complete an abuse report as a mandated reporter.

Based on interviews and records, the preponderance of the evidence standard has been met. Therefore, these allegations are substantiated.


An exit interview was conducted with the Licensee. A copy of this report and Licensee's Rights (LIC 9058/03/22) was provided via email to the Licensee.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20201006150632
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: CARROLLS RESIDENTIAL CARE
FACILITY NUMBER: 370804865
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/14/2026
Section Cited
CCR
87468.2(a)(8)
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To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.
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Was corrected on 10/06/2020. R1 moved out the shared room.
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This requirement was not met as evidenced by: Based on interviews and record review, licensee did not ensure that R1 was free from abuse after suspected abuse was reported. This posed an immediate personal rights risk to 1 of 121 residents in care.
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Type A
08/14/2026
Section Cited
CCR
87211(c)
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Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1).
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A incident was submitted. POC corrected.
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This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not report suspected abuse upon learning of the abuse of 1 of 121 residents in care. This posed a potential personal rights risk to persons 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.
SUPERVISOR'S NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3