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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603643
Report Date: 10/09/2026
Date Signed: 10/09/2026 09:53:12 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
12/08/2023 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20231208114202
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:
10/09/2026
UNANNOUNCEDTIME BEGAN:
07:49 AM
MET WITH:Report Mailed to Licensee via USPS Certified MailTIME COMPLETED:
07:50 AM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff did not report incident to resident's responsible party
Staff did not properly transfer resident after an injury
Staff did not properly assist resident causing resident to fall and sustain injury
Staff handled resident in a rough manner
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 December of 2023, Community Care Licensing (CCL) received a complaint alleging staff did not properly assist residents causing a fall and subsequent injury, staff did not report R1’s fall to responsible party, staff did not transfer R1 properly after the injury and R1 was handled roughly. During the investigation the Department attempted to collect records and conducted interviews. Interview conducted with an outside source who is close to R1 established that there were no issues with the care R1 received while at the facility. According to outside source, facility provided care that went above requirements. Interview with staff did not confirm any of the allegations. There was no additional information collected that corroborated the allegations mentioned.
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: 10/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2026
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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