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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604885
Report Date: 09/28/2026
Date Signed: 09/28/2026 05:05:57 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
12/29/2025 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20251229150137
FACILITY NAME:AGING GRACEFULLY CARE OF TRI-CITYFACILITY NUMBER:
374604885
ADMINISTRATOR:PALAD, IRENEFACILITY TYPE:
740
ADDRESS:3218 MIRA MESA AVENUETELEPHONE:
(760) 207-6488
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:6CENSUS: 5DATE:
09/28/2026
UNANNOUNCEDTIME BEGAN:
04:55 PM
MET WITH:Irene PalidAdministratorTIME COMPLETED:
05:07 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not treat resident with dignity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to close a complaint on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Irene Palid
Administrator to discuss the purpose of the visit.

LPA Borrruda conducted a tour of the facility on January 6, 2026. LPA Borruda also started interviews with clients, facility staff, and outside sources and also reviewed records. It was alleged that staff did not treat resident with dignity. Interviews with staff revealed they have treated the residents with kindness and dignity. The staff denied not treating the residents with dignity. Interviews also revealed that there havent been any complaints from residents regarding staff not treating them with dignity. Interviews with residents revealed the staff are polite to them. Interviews revealed they have not seen any staff not treating the clients with dignity. Several interviews revealed that they have not experinced the staff not treating them with dignity. The investigation did not produce supporting evidence or supporting witness statements to substantiate the licensee denied payee information to client. Based on the evidence obtained from interviews,the complaint allegation is unsubstantiated.

An exit interview was conducted with Irene Palid, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
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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