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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604371
Report Date: 05/29/2026
Date Signed: 05/29/2026 04:07:46 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 Arian Golbakhsh
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20260519142545
FACILITY NAME:LEXINGTON HOUSEFACILITY NUMBER:
374604371
ADMINISTRATOR:LUONG DAOFACILITY TYPE:
740
ADDRESS:180 W. LEXINGTON AVE.TELEPHONE:
(619) 328-5044
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:6CENSUS: 6DATE:
05/29/2026
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Caregivers Ann Cunanan and Jennifer Cinco. Administrator Arceli SongcoTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in resident eloping.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to conduct a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to caregivers Ann Cunanan and Jennifer Cinco. Administrator Arceli Songco arrived later during the visit. Note, LPA did step out for lunch from 12:00-1:00pm.

On 05/19/2026, the Department received a complaint where it was alleged that a resident (identified as R1) had eloped from the facility due to lack of staff supervision. The Department’s investigation consisted of an unannounced facility visit, records review, and interviews with staff, residents, and outside sources.

[Continued on LIC 9099-C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
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 3
Control Number 08-AS-20260519142545
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: LEXINGTON HOUSE
FACILITY NUMBER: 374604371
VISIT DATE: 05/29/2026
NARRATIVE
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[Continued from LIC 9099]
 
R1 is a resident at the facility with a diagnosis of Dementia, along with multiple other diagnoses of conditions that affect R1's mental health and cognitive functioning. Per R1's medical assessment, conducted October 2025, R1 is unable to leave the facility unassisted. R1 had been residing at the facility for over four (4) years under the current ownership that acquired the facility back in 2022.

Community Care Licensing (CCL) had received an incident report from the facility on 5/19/26 of the incident where R1 had eloped from the facility a few days prior on 5/15/26. Per the report, it is noted that one caregiver was assisting another resident and another caregiver was completing medication documentation at the medication desk and neither heard the door alarm activate when R1 exited the facility. It is noted that R1 was last seen watching tv in the living room area. Per the report, Staff searched the facility and surrounding neighborhood, then subsequently contacted law enforcement for assistance. Just over an hour later, the facility received a call from an individual who found R1 about 0.8 miles away from the facility and noted scratches and abrasions to the face and both knees. R1 was taken to the hospital for evaluation and returned to the facility same day with no serious injuries.

Staff interviews corroborated the events detailed in the report received by CCL, with multiple staff revealing that R1 had wandering behaviors within the home and yard, but had never been exit seeking from the property until this recent incident. It was corroborated by all staff that R1 enjoyed walking. Two (2) staff interviewed indicated that R1 had only ever left the facility before with direct staff supervision, and another indicated that R1 would communicate with staff when they were wanting to go on a walk. Interviews with staff present during the elopement incident revealed that they had last heard R1 laughing while watching tv in the living room just minutes before realizing R1 was no longer there.

Interviews with outside sources responsible for R1's care corroborated that this was the first incident they were aware of for R1 displaying eloping/exit seeking behaviors at the home. These interviews also revealed no concern with the facility's ability to supervise and care for R1 thus far, and indicated they felt the facility responded to the incident appropriately. Interviews with residents revealed no concerns about their care, staffing numbers, or staff response times.

[Continued on LIC 9099-C]
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20260519142545
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: LEXINGTON HOUSE
FACILITY NUMBER: 374604371
VISIT DATE: 05/29/2026
NARRATIVE
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[Continued from LIC 9099]

File review of R1's physician's assessment noted that R1 had wandering behaviors but no elopement behaviors. Per review of R1's annual appraisal, conducted January 2026, R1 was not noted to require specialized supervision and/or night supervision. Per review of R1's care plan, dated March 2026, it's noted that staff will continue to monitor R1 for wandering or unsafe behaviors, not specifying any specialized supervision needs. Since the incident, the facility has responded by increasing monitoring of R1 and implemented additional training on elopement, as corroborated by staff interviews.

Based on interviews and records review, while the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred – therefore the allegation has been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Songco to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Arian Golbakhsh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3