374604267-5-27-2026-08-AS-APAO-DVDQH9-20260625121044

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604267
Report Date: 05/27/2026
Date Signed: 05/27/2026 03:01:38 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
05/19/2026 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20260519093841

FACILITY NAME:	CLOISTERS OF THE VALLEY, LLC		FACILITY NUMBER:	374604267
ADMINISTRATOR:	SUURONEN-GOODWIN, TIA		FACILITY TYPE:	740
ADDRESS:	4171 CAMINO DEL RIO SOUTH		TELEPHONE:	(619) 283-2226
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92108
CAPACITY:	70	CENSUS: 67	DATE:	05/27/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Executive Director Tia Suuronen-Goodwin		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not adequately supervising a resident in care.
Staff made an inappropriate comment to a resident in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegations. LPA identified themselves and met with Executive Director Tia Suuronen-Goodwin to discuss the purpose of the visit and elements of the complaint.

On 05/19/2026, it was alleged that staff are not adequately supervising a resident in care, and that staff made an inappropriate comment to a resident in care. The department's investigation consisted of interviews and records review.

Regarding the allegation that staff are not adequately supervising a resident in care, interviews consistently reported that the facility currently has two residents(R2 and R3) who exhibit wandering behaviors. Staff consistently reported that wandering residents are redirected throughout the day, guided to activities, or escorted back to their rooms as needed. [Cont. on LIC 9099-C)]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 08-AS-20260519093841

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: CLOISTERS OF THE VALLEY, LLC	FACILITY NUMBER: 374604267
	VISIT DATE: 05/27/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

[Cont. from LIC 9099]

Staff acknowledged that one wandering resident (R2) recently moved into the community and occasionally enters other residents’ rooms, however, staff stated that these incidents are brief and that redirection occurs immediately when observed or when the incident is brought to their attention by other residents. Interviews further reported that caregivers, med techs, and supervisory staff are present in the hallways throughout the day, conduct frequent checks, and work together to monitor residents who wander.

Regarding the allegation that staff made an inappropriate comment to a resident in care, interviews consistently denied witnessing any staff member speak to a resident in an inappropriate or dismissive manner. Interviews reported that when other residents express frustration about wandering behaviors or other residents entering their rooms, staff respond by redirecting the wandering resident and addressing concerns respectfully, and staff denied ever responding to such complaints in a rude, dismissive, or unprofessional way.

LPA attempted to interview the resident in question (R1), who was reportedly involved in a room-entry incident, but R1 was not available during the visit due to being out in the community and multiple attempts to interview by telephone were unsuccessful. Additional resident interviews reported that they have witnessed R2 wander into their rooms, however staff redirect R2 immediately, and it does not happen often.

Records review of the behavioral service plan for R2, initiated on 05/11/2026, documented that R2 requires redirection, engagement in calming activities, and verbal support when wandering or searching for individuals not present. The service plan noted that the resident responds to reorientation and redirection. The physician’s report further showed that the resident does not utilize a walker or wheelchair and requires special observation due to wandering.

Based on interviews and records review, the preponderance of evidence standard has not been met, therefore the above allegations are found to be unsubstantiated. An exit interview was conducted with Executive Director Tia Suuronen-Goodwin and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2