Point Loma Elder Care

Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Gaurav Rathi, Administrator. Previous LPA conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on April 14, 2025. It was alleged that staff hit a resident. Interviews revealed that the complaint came in 2025 stating that Resident (R1) was hit by a staff one to two years prior. Interviews revealed they were not able to provide a specific date of when this incident occurred, nor the name of the staff member who alledgedly hit the resident. Interviews with an outside source revealed that they did not recieve any complaints about a staff hitting the resident. Interviews with an outside source revealed there was a problematic staff that wasRead the full finding— CDSS inspection report, May 8, 2026 · control 08-AS-20250404145556

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced subsequent visit to deliver findings regarding the above‑mentioned allegations. LPA identified themselves and met with Administrator Nikki Mundhada, to discuss the purpose of the visit and elements of the complaint. On 11/12/2025, it was alleged that physical abuse towards a resident resulted in serious bodily injury and that staff did not safeguard resident's personal items. The Department’s investigation consisted of interviews with facility staff, residents, and a review of facility records. (Cont. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, February 10, 2026 · control 08-AS-20251112192046

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA identified themselves and met with Facility Manager Vinny Rathi, to discuss the purpose of the visit and elements of the complaint. On 01/06/2026, it was alleged that staff physically abused Resident 1 (R1). The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, and a review of facility records. (Cont. on LIC 9099-C) Unsubstantiated— CDSS inspection report, January 13, 2026 · control 08-AS-20260106165520

Licensing Program Analysts (LPA) Iby Strong and Janet Ngallo conducted an unannounced complaint visit to initiate an investigation on the above-mentioned allegation. LPAs met Caregiver Hugo Duran and discussed the purpose of the visit. Co Administrator Vinit Rathi and Administrator Nikita Mundhada arrived shortly after. On August 21, 2025, Community Care Licensing (CCL) received a complaint alleging Resident 1 was abused. During the investigation, LPA Strong and LPA Ngallo conducted interviews, and reviewed facility records. According to the allegation on an undisclosed date, R1 was abused, there was no information provided on the type of abuse or a name for the suspected abuser. Records collected revealed that R1 has a diagnosis of a major neurocognitive disorder with behavioral disturbances and agitation towards staff. UnsubstantiatedRead the full finding— CDSS inspection report, August 26, 2025 · control 08-AS-20250821134711

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced follow up complaint investigation visit and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Administrator Gaurav Rathi. Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents. It was alleged staff did not assist a resident with dental care. On January 17th, 2025, it was reported to the Department staff did not assist Resident # 1 (R1) with cleaning R1’s dental implants, as indicated by R1’s dentist. Review of records revealed R1’s implants needed to be cleaned daily and set in water when not in use. Interviews with internal sources confirmed staff would clean and set R1’s implants in water when not in use. Staff would remind R1 to place and remove the dental implants. (See LIC 9099-C for continuation of report.) UnsubstantiatedRead the full finding— CDSS inspection report, May 23, 2025 · control 08-AS-20250117155139

On 11/13/2023, at about 12:00 PM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced facility visit to conclude a complaint investigation regarding the above-mentioned allegation. LPA identified himself and discussed the purpose of the visit and complaint conclusion with Hugo Duran, Administrator. On 8/1/2022, CCLD received a complaint alleging a staff person did not treat a resident with dignity. The Department’s investigation consisted of LPA observation, document and video recording review, and interviews with residents, staff, and outside sources. As a result of this investigation, LPA identified a former employee, later determined to be a person of interest in this complaint. LPA interviewed the former employee. The former employee said they lived at the facility but were off duty on 7/29/22. The former employee admitted to LPA they were involved in some type of physical confrontation with Resident 1 (R1). LPA asked the former employee if they picked up and threwRead the full finding— CDSS inspection report, November 13, 2023 · control 08-AS-20220801100505

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced visit on 10/12/2023 to deliver the findings of a complaint investigation initiated in September 2022. LPA identified herself to Staff Nida Capiendo. Administrator Gary Rathi arrived at the facility shortly. On 09/12/2022, Community Care Licensing Division (CCLD) received a complaint where it was alleged that Resident 1 (R1) fell and sustained minor injuries due to neglect/lack of supervision by facility staff. The Department investigated the above complaint allegation. The investigation consisted of interviews with facility staff and outside sources, observations, and records review of documents pertinent to the investigation. A tour of the facility premises was conducted on 09/20/2022. Facility records showed that R1 used a walker and sometimes used a wheelchair and was assessed as non-ambulatory. SubstantiatedRead the full finding— CDSS inspection report, October 12, 2023 · control 08-AS-20220912085344

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. LPA identified herself and was granted entry by Carmelita Crisolo, Caregiver. LPA stated the purpose of the visit and reviewed the findings of the complaint with Facility Manager/Co-Administrator, Travonna Washington. The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On March 11, 2021, it was alleged that the facility did not accord residents with dignity. It was also alleged that staff yelled at a resident. It was lastly alleged that staff did not afford residents to be free from intimidation. It was specifically alleged that staff did not accord residents with dignity and would enforce napping by using furniture as a “restraint” to block the bed while a resident was napping. Interviews with outsideRead the full finding— CDSS inspection report, March 30, 2023 · control 08-AS-20210311142952

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint investigation visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Administrator Travonna Washington. The Department’s investigation consisted of interviews with residents, staff, and outside sources, records review, and a tour of the facility. It was alleged that meals did not meet resident’s needs. Review of resident 1’s (R1) medical records revealed that R1 required a mechanical soft diet and required staff assistance with all activities of daily living, including eating meals, bathing, dressing, and toileting. Record review revealed that R1’s medical condition declined and R1 was admitted to hospice care in January 2022. Interviews and record review revealed that R1 had declined in meal intake directly prior to being admitted to hospice care and had poor meal intake while under hospice care. Continued onRead the full finding— CDSS inspection report, March 23, 2023 · control 08-AS-20220309105309