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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372004738
Report Date: 05/22/2026
Date Signed: 07/30/2026 10:35:22 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
05/13/2026 and conducted by Evaluator Jose DeLaCruz
COMPLAINT CONTROL NUMBER: 08-AS-20260513172708
FACILITY NAME:CANYON VILLASFACILITY NUMBER:
372004738
ADMINISTRATOR:BOLLER, VONDAFACILITY TYPE:
740
ADDRESS:4282 BALBOA AVENUETELEPHONE:
(858) 273-1306
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:133CENSUS: 116DATE:
05/22/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Executive Director Vonda BollerTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Staff illegally evicted a resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Executive Director Vonda Boller. The facility's license shows a maximum capacity of four (4) developmentally disabled adults, ages 18 through 59, all ambulatory

On 5/13/2026, it was alleged that the facility engaged in the illegal eviction of a resident (R1).
A review of records found that on 4/23/2026, the facility submitted a copy of R1’s 30-day eviction letter to the Department as required, indicating violations of facility policy as grounds for the eviction, which would be in effect as of 5/28/2026.


[CONTINUED ON LIC9099-C]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
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-20260513172708
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: CANYON VILLAS
FACILITY NUMBER: 372004738
VISIT DATE: 05/22/2026
NARRATIVE
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[CONTINUED FROM LIC9099]



On 5/14/2026, the Department conducted a review of the eviction letter to determine compliance. According to the notice, seven (7) policy violations were listed including, "verbal abuse directed toward other residents or staff," “yelling at and threatening staff", and “using profanity and offensive language.,” and others. Listed policy violations did not specify the supporting details as required such as the date, place, witnesses and circumstances of each policy violation that occurred. Other required elements were also missing which included the specific statement required by California Code of Regulations, Title 22, 87224(d)(1)(D), which protects Residents from involuntary transfers by informing them of the facility’s responsibility to file and be granted an unlawful detainer in court should the resident fail to vacate per the terms of the notice.

On 5/22/2026, LPA interviewed R1, who confirmed receiving the eviction notice, but refuted the details included on the document.

The Facility Administrator was also interviewed, who confirmed that the eviction notice was on hold while the requested changes were being made.

Based on the foregoing, the preponderance of evidence standard was met. The complaint was substantiated and deficiencies were cited and listed on the attached LIC 9099(d).

Exit interview conducted. Report, LIC 9099(d) and Appeal Rights discussed with, and provided to Executive Director Vonda Boller, whose signature below confirms receipt.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20260513172708
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: CANYON VILLAS
FACILITY NUMBER: 372004738
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2026
Section Cited
CCR
87224(d)
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87224 Eviction Procedures (d) The licensee shall set forth in the notice to quit the reasons… for the eviction with… the date, place, witnesses, and circumstances concerning those reasons.
This requirement was not met as evidenced by:
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Eviction notice is being corrected, once the corrections are done it will be submitted to the department for review.
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Based on record review, the Licensee served an eviction notice to one resident (R1) based on seven (7) facility policies, without dates, place and/or witnesses regarding those violations which posed an immediate personal rights risk one of 96 residents (R1) 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: Robyn Clark
LICENSING EVALUATOR NAME: Jose DeLaCruz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3