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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603643
Report Date: 10/08/2026
Date Signed: 10/08/2026 06:39:44 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
11/02/2021 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20211102125606
FACILITY NAME:ST. PAUL'S PLAZAFACILITY NUMBER:
374603643
ADMINISTRATOR:STRATMAN, KIMFACILITY TYPE:
740
ADDRESS:1420 E PALOMAR STREETTELEPHONE:
(619) 591-0600
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:0CENSUS: 0DATE:
10/08/2026
UNANNOUNCEDTIME BEGAN:
06:24 PM
MET WITH:Report Mailed to Licensee via USPS Certified MailTIME COMPLETED:
06:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Lack of supervision resulting in multiple injuries
-Staff not meeting residents needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Iby Strong sent this report to the former licensee's last known mailing address via USPS certified mail to deliver the investigation findings for the above-mentioned allegations. This facility ceased operations on April 7, 2026.
In November of 2021, Community Care Licensing (CCL) received a complaint alleging Resident 1 sustained multiple injuries due to lack of supervision and R1’s needs were not met. During the investigation the Department collected records and conducted interviews. According to the allegations, facility staff were not preventing R1 from falling therefore R1’s needs were not met as R1 was known to be a fall risk. Interviews and records revealed that R1 had a major neurocognitive disorder and was non-ambulatory. Interview with an outside source established that R1 would forget they could no longer walk but would still attempt to transfer resulting in falls. There was no additional information available to corroborate that the facility did not provide supervision or fulfil the needs of the residents in care.
Based available information there was not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. A copy of this report was mailed to Licensee via USPS Certified Mail.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2026
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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