374604890-6-26-2026-08-AS-JROO-DYEQUH-20260930122842

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604890
Report Date: 06/25/2026
Date Signed: 06/26/2026 05:08:32 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
06/11/2026 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20260611130519

FACILITY NAME:	BLOSSOM VALLEY RESIDENTIAL CARE		FACILITY NUMBER:	374604890
ADMINISTRATOR:	PATRICIA PENA		FACILITY TYPE:	740
ADDRESS:	10044 BLOSSOM VALLEY RD		TELEPHONE:	(619) 857-5558
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	6	CENSUS: 4	DATE:	06/25/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Care Staff Lori Garcia		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Licensee did not protect resident from sexual abuse.
Staff retains a resident with a higher level of care needs than can be met in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit and delivered findings. LPA Silveira explained the purpose of the visit and was granted entry into the facility by staff Leandra Smith. LPA reviewed the report with staff Lori Garcia.

The Department’s investigation consisted of LPA observations, interviews and a records review. On June 11, 2026, it was alleged that the Licensee retained Resident #1 (R1) in the facility, even though they had a higher level of care needs. It was also alleged that this led to Resident #2 (R2) being inappropriately touched by R1.

On June 12, 2026 the Department conducted an unannounced visit and observed that there were two (2) staff present caring for the residents. (CONTINUED ON NEXT PAGE, LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026

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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Control Number 08-AS-20260611130519

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: BLOSSOM VALLEY RESIDENTIAL CARE	FACILITY NUMBER: 374604890
	VISIT DATE: 06/25/2026

NARRATIVE

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(CONTINUED FROM PAGE 1, LIC 809)
The Licensing Program Analyst (LPA) who conducted the visit was present for 3 hours and did not observe any health & safety issues. The Department conducted a records review and reviewed the medical assessment dated 02/27/26 for R1. The report revealed that R1 is diagnosed with dementia and macular degeneration and sometimes suffers from disorientation and hallucinations due to their conditions.

A Department interview conducted with R2 on June 19, 2026 revealed that R2 denied ever being touched inappropriately by R1. Department interviews conducted with three (3) facility care staff also revealed that while there was a brief period that due to R1’s condition, R1 had confused R2 for a previous male partner, the three (3) staff did not witness inappropriate behaviors from R1 towards R2. Interviews with the three (3) staff also revealed that immediate action was taken by the facility to have R1 moved to a separate room and provide a new caregiver to assist R1 with redirection and activities.

A Department interview with the Administrator revealed that R1 was recently seen by a Geriatric Psychiatrist who placed R1 on a new medication regimen and R1 is calmer and less agitated. Finally, an interview on June 25, 2026 with an outside source who advocates for R2 revealed that they have not observed any inappropriate behavior from R1 towards R2 in the past few weeks. There is insufficient evidence to support these allegations.

The preponderance of evidence standard has not been met, therefore, the above-mentioned allegations are unsubstantiated. An exit interview was conducted with Administrator Patricia Pena, and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 03/22) were provided to the Administrator via email. Signature below confirms receipt of all documents.

**NOTE: LPA left the facility for a 1 hour lunch break and to complete this report. LPA returned to deliver findings.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026

LIC9099 (FAS) - (06/04)

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