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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601276
Report Date: 09/15/2026
Date Signed: 09/16/2026 08:31:18 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
10/11/2023 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20231011112743
FACILITY NAME:ANGEL'S GUEST HOME #1FACILITY NUMBER:
374601276
ADMINISTRATOR:JENKINS, PATRICIAFACILITY TYPE:
740
ADDRESS:9208 BELLAGIO RDTELEPHONE:
(619) 258-2013
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:6CENSUS: 6DATE:
09/15/2026
UNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Caregiver Zlota Levine
Administrator Monica Allan		TIME COMPLETED:
03:23 PM
ALLEGATION(S):
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Facility is in disrepair.
Licensee does not ensure that the facility provides a safe environment for the residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegations. LPA identified herself, explained the purpose of the visit and nature of the complaint to Caregiver Zlota Levine. Administrator Monica Allan later joined the visit.

On October 11, 2023 the Department received this complaint which alleged facility is in disrepair and licensee does not ensure that the facility provides a safe environment for the residents.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
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 2
Control Number 08-AS-20231011112743
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: ANGEL'S GUEST HOME #1
FACILITY NUMBER: 374601276
VISIT DATE: 09/15/2026
NARRATIVE
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(Continued from LIC9099)

Regarding the allegation that facility is in disrepair, the reporting party specifically stated concerns regarding the state of the garage and alleged the water heater was leaky. During unannounced visits, LPA observed the facility to be clean, sanitary and in good repair. LPA did not observe the water heater to be leaky nor anything concerning the water heater. LPA observed the garage to have appropriate storage for extra supplies and holiday decor. Additionally, the washer and dryer machine are in the garage. LPA observed them to be in working condition. Per interviews with staff, the residents do not go into the garage. There was no evidence collected at the time this investigation was initially opened to indicate the facility was in disrepair.

Regarding the allegation that licensee does not ensure that the facility provides a safe environment for the residents, during unannounced visits, LPA did not observe anything making the facility environment unsafe. LPA observed medications locked and inaccessible to residents. LPA observed a small koi pond in the backyard which is surrounded by a fence which was in good repair, at least 5 feet high, locked and of sufficient strength to withstand impact. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. There was no evidence collected at the time this investigation was initially opened to indicate an unsafe environment.

The Department has investigated the above mentioned allegations. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated.

An exit interview was conducted with Caregiver Zlota Levine, to whom a copy of this report and the Licensee’s Rights (LIC9058 3/22) were provided at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
LIC9099 (FAS) - (06/04)
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