Casa El Cajon

Licensing Program Analyst (LPA) Sarah Hurt conducted a telephone call on 09/26/2025 to deliver Complaint findings. LPA spoke with facility Admininstrator Rebecca Rayo and expalined the purpose of the phone call. Regarding the allegation staff neglect/ lack of supervision led to resident falling and sustaining a fractured right shoulder. On 03/30/2024, Resident 1 sustained an unwitnessed fall while walking and was transported to Grossmont Hospital. Resident 1 reported they lost their balance and fell on their right shoulder, denying head trauma or loss of consciousness. Resident 1 was discharged the same day with a non-surgical fracture and pain management instructions. On 03/31/2024 facility noted Resident 1 was lethargic, unable to ambulate, or perform basic tasks. Administrator transported Resident 1 back to the hospital, where the social worker determined he required a higher level of care. UnsubstantiatedRead the full finding— CDSS inspection report, September 26, 2025 · control 08-AS-20240403084231

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Becky Rayo. On May 27, 2025 the Department received this complaint which alleged lack of supervision resulted in drug use. The Department’s investigation included facility tours and interviews with residents, staff, and outside sources. (Continued on LIC9099-C) Unsubstantiated— CDSS inspection report, August 19, 2025 · control 08-AS-20250527140804

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Becky Rayo. On June 5, 2025 the Department received this complaint which alleged staff had an inappropriate conversation with another adult while in the presence of Resident #1 (R1) [See LIC811 Confidential Name List for a description of select person identifiers used in this report]. Specifically, that staff threatened to evict R1. The Department’s investigation included interviews with residents, staff and outside sources. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, August 19, 2025 · control 08-AS-20250605094913

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry after identifying herself to Medical Receptionist Eveline Denton. LPA discussed the purpose of the visit, and the basic elements of the allegations mentioned above with MR Denton. The Department's investigation included resident, staff, and outside source interviews, a facility, and a resident records reviews. It was alleged the facility was in disrepair. More specifically, it was alleged that water from recent rain falls had soak up through the foundation, and through the tile flooring and would create puddles in Resident's1 (R1's) room. A review of R1’s records revealed they were admitted to the facility on May 17, 2019, with a primary diagnosis of anxiety, depression, osteoarthritis, hypertension, and high cholesterol. R1’s records also revealed they were independent and only required medication management, and they were happy and easy going. UnsRead the full finding— CDSS inspection report, June 16, 2025 · control 08-AS-20250127120814

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced subsequent visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Licensee Lillian Franklin. On March 3, 2025 the Department received this complaint which alleged staff threatened to evict Resident #1 (R1) [See LIC811 Confidential Name List for a description of select person identifiers used in this report] . The Department’s investigation included a facility tour, in addition to interviews with residents, staff and outside sources. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, May 22, 2025 · control 08-AS-20250303162344

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Licensee Lillian Franklin. On February 10, 2025 the Department received the complaints which alleged facility staff are not allowing resident to attend Adult Day Program, facility staff are not assisting resident with medical appointments, and facility staff are not answering communications from resident’s representative appropriately. The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff and outside sources. (Continued on LIC9099-C). UnsubstantiatedRead the full finding— CDSS inspection report, May 22, 2025 · control 08-AS-20250210110911

Licensing Program Analyst (LPA) Correia conducted an unannounced follow-up visit to a complaint investigation and delivered the finding to the above-mentioned allegation. LPA Correia identified herself, was granted entry, and explained the purpose of the visit to Administrator Rayo. The Department’s investigation consisted of staff, resident, and outside source interviews. The investigation also included facility, resident, and outside source records reviews. It was alleged that facility staff did not safeguard Resident’s (R1) cash resources. A resident records review revealed R1 was admitted to the facility on July 13, 2020, with a primary diagnosis of Schizophrenia. A review of R1’s resident records dated the day of admission revealed R1 was able to manage their own cash resources in small amounts, an additional records review dated 2 days later, July 15, 2020, revealed R1 was not able to manage their own cash resources. However, a review of facility records revealed per contractualRead the full finding— CDSS inspection report, November 25, 2024 · control 08-AS-20210806114056

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation. LPA was granted entry after identifying herself. LPA discussed the purpose of the visit and the basic elements of the allegations mentioned above with Administrator Rayo. The Department's investigation included resident, staff, and outside source interviews, a facility tour, and facility and resident records reviews. It was alleged staff did not provide adequate food services to residents. A facility tour revealed the facility has a commercial kitchen, a sufficient supply of perishable and non-perishable food. LPA observed a log of temperature checks for proper refrigeration, and all expiration dates checked on food items were all in compliance. An interview with facility staff revealed the facility also has vending machines for clients to use at their discretion until 10:00 PM. LPA also conducted a review of the facility menu and secured a copy. Staff interviews and facRead the full finding— CDSS inspection report, September 19, 2023 · control 08-AS-20230831135504

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegation. LPA Silveira met with Administrator Rebecca Rayo and shared the findings. The Department’s investigation consisted of observations, interviews, and records review. On 03/22/23 it was alleged that Resident #1 (R1) was not treated with dignity and respect, mainly, that the resident was forced to cut their hair and was not addressed by their nickname. Interviews with staff, residents and outside sources revealed that the facility provides a free, voluntary haircutting service. Interviews with residents revealed that residents themselves request the haircutting services when needed. Residents expressed that they have never been forced to get a haircut and have never seen anyone being forced to get a haircut and expressed appreciation for the free haircut services. Interviews with staff and outside sources also revealed that R1 had requested theRead the full finding— CDSS inspection report, April 28, 2023 · control 08-AS-20230322154130

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegation. LPA Silveira met with Administrator Rebecca Rayo and shared the findings. The Department’s investigation consisted of interviews and records review. On 01/05/23 it was alleged that there was an unlawful eviction of a resident. Interviews with the Administrator and outside sources, as well as a records review, revealed that an eviction notice was provided to the resident and the resident’s responsible parties, however, the eviction notice was missing information required by Title 22 Regulations. The eviction notice did not list resources to assist resident in identifying alternative housing options as well as a statement informing residents of their right to file a complaint with CCLD. (continued on LIC 9099-C) SubstantiatedRead the full finding— CDSS inspection report, January 31, 2023 · control 08-AS-20230105112516

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegation. LPA Silveira met with Caregiver Ma. Resalyn Ocenar and shared the findings. The Department’s investigation consisted of interviews and observations. On 12/24/21, it was alleged that the facility did not allow unvaccinated visitors. On 01/03/22 during an initial visit, LPA observed that the facility was following COVID-19 protocols required by Community Care Licensing Division (CCLD). All visitors were required to show proof of vaccination or a COVID-19 negative test upon entrance. An interview with the Administrator and outside sources revealed that unvaccinated visitors who arrived to the facility were asked to remain in the front area until residents were able to come to them. Interviews with residents and outside sources also revealed that there were no concerns reported about visitors not having access to residents. (CONTINUED ON LIC 909Read the full finding— CDSS inspection report, January 28, 2023 · control 08-AS-20211224104219

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegation. LPA Silveira met with Ma. Resulyn and shared the findings. The Department’s investigation consisted of interviews and records review. On 12/02/22, it was alleged that the facility elevator was in disrepair. Interviews with the Administrator and Licensees revealed that the elevator broke down on or around 11/12/22. A records review revealed that a company was contacted and came out to fix the elevator on 11/18/22. It was discovered that the disrepair was due to the elevator having water and oil underneath and a hazardous waste company would have to be contacted. Records review also revealed that the Licensees searched for a hazardous waste company to complete the job, and obtained a work order quote on 01/16/23 to clean out the hazardous waste. (continued on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, January 28, 2023 · control 08-AS-20221202083415