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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600345
Report Date: 07/22/2022
Date Signed: 07/22/2022 11:32:01 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/04/2022 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220104094844
FACILITY NAME:ATRIA ENCINITAS SOUTHFACILITY NUMBER:
374600345
ADMINISTRATOR:MARIANO HERNANDEZFACILITY TYPE:
740
ADDRESS:504 S EL CAMINO REALTELEPHONE:
(760) 436-9990
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:90CENSUS: 57DATE:
07/22/2022
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Executive Director Melissa WatkinsTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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9
Facility is not following infection control procedures.
INVESTIGATION FINDINGS:
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2
3
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5
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11
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13
Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Melissa Watkins.
On January 4, 2022, Community Care Licensing (CCL) received a complaint alleging facility is not following infection control procedures. During the investigation, LPA Strong and Licensing Program Manager (LPM) John Rante conducted an unannounced inspection of the facility on January 14, 2022. During the tour of facility, LPA and LPM witnessed all present staff members wearing personal protective equipment. During this visit, facility also had guest check-in station, infection screening station, hand hygiene signs and respiratory etiquette signs. An interviews with a former resident revealed that there were no concerns with facility’s managements of COVID-19 procedure. Lastly, records reviewed did not show any violation of infection control procedures.
Based on LPA's interviews, observations, and records reviewed, there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive Director Melissa Watkins, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 01/16) were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: John RanteTELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby StrongTELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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