Tierrasanta Vernanel Care Home

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Nelly Panao. The Complainant alleged that Licensee did not meet Resident #1’s (R1’s) incontinence care needs, that Licensee did not ensure R1 had clean linen on their bed, and that Licensee did not maintain facility cleanliness. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report.] CCLD’s investigation involved multiple unannounced facility tours/welfare check and interviews of relevant residents, staff, and outside sources. The Department also reviewed pertinent facility and hospice agency care records. [CONTINUED ON LIC 9099-C, 1 of 3] SubstantiatedRead the full finding— CDSS inspection report, June 3, 2025 · control 08-AS-20250417130623

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Nelly Panao. The Complainant alleged that Licensee did not protect Resident #2 (R2) from being sexually abused by Resident #1 (R1), and that Licensee did not safeguard resident personal property. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] CCLD’s investigation involved multiple unannounced facility tours/welfare check and interviews of relevant residents, staff, and outside sources. The Department also reviewed pertinent San Diego Police Department (SDPD) records and facility care records. [CONTINUED ON LIC 9099-C, 1 of 4] SubstantiatedRead the full finding— CDSS inspection report, June 3, 2025 · control 08-AS-20220216163808

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the finding in the above mention complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Licensee Nelly D. Panao. During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents and outside sources. It was alleged that Residents were not being treated with dignity. LPA Domingo interviewed 4 Residents. Resident 1 (R1) through Resident 4 (R4) (See LIC811 Confidential Names list), stated that they all have been treated with dignity. Review of R1 through R4's Physician's report documented the Resident's with mild cognitive deficits. LPA Domingo observations of R1 through R4 concur with the Physician's report. Interview with outside source 1 (OS1) observed staff treating residents with dignity. UnsubstantiatedRead the full finding— CDSS inspection report, July 7, 2023 · control 08-AS-20220805113212

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced visit to initiate a complaint investigation. LPA was granted entry after identifying himself. LPA discussed the purpose of the visit and the basic elements of the allegation with Administrator, Nelly Panao. During the visit, LPA conducted a welfare check of the three present residents, conducted interviews, and obtained copies of records. It was alleged, that due to neglect, the facility did not have a resident’s medical supplies. The investigation consisted of LPA observation, interviews with residents, staff and outside sources and review of facility and resident records. Interviews with staff and outside sources revealed that on April 24, 2023, Resident 1 (R1) was transported to the hospital Emergency Department. Reportedly, the night prior, R1 was acting out in an unusual manner, yelling and removing their colostomy pouch. An outside source came to the facility to take R1 to the hospital and noticed R1’s colostomyRead the full finding— CDSS inspection report, April 28, 2023 · control 08-AS-20230425163347