374600890-2-14-2024-08-AS-SJAB-D2P349-20240221165447

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 02/14/2024
Date Signed: 02/14/2024 11:43:25 AM

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
02/08/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240208123756

FACILITY NAME:	ATRIA COLLWOOD		FACILITY NUMBER:	374600890
ADMINISTRATOR:	JULIA LOPEZ		FACILITY TYPE:	740
ADDRESS:	5308 MONROE AVE		TELEPHONE:	(619) 286-3583
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	185	CENSUS: 85	DATE:	02/14/2024
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Julia Lopez, Executive Director		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Unlawful eviction
Staff does not ensure basic laundry service is provided in a timely manner
Staff mismanaged resident’s medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit regarding the above mentioned allegations. LPA stated the purpose of the visit, was granted entry by and met with Executive Director Julia Lopez.

LPA briefly toured the facility, and obtained copies of pertinent facility records. LPA conducted interviews with staff and residents. It was allleged that the facility gave resident an unlawful eviction. Interviews revealed the eviction is lawful and is still in effect as of today. The eviction was given to Resident 1 (R1) due to partial payments being made since R1 has been living at the facility. R1 was given an eviction back in May, 2023. The facility continued to accept partial payments and that voided the evictiion. The resident was given another eviction on January. 22, 2024 due to non payment again. On February 5, 2024, R1 attempted to make a partial payment and it was refused. Then R1 proceeded to make another partial payment at the front desk after having knowlege of the facility not accepting any more partial payments from them. A record review revealed partial payments made to the facility since February 2023 when R1 first moved in. Eviction was given to R1 due to non payment of monies owed in the amount of over 10,000. Interviews did not provide supporting information that the facility gave the resident an unlawful eviction.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

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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Control Number 08-AS-20240208123756

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: ATRIA COLLWOOD	FACILITY NUMBER: 374600890
	VISIT DATE: 02/14/2024

NARRATIVE

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It was alleged that the staff does not ensure basic laundry service is provided in a timely manner. Interviews with housekeeping revealed that R1 gets their room cleaned weekly on Wednesdays. Interviews revealed that they clean the floors, toilet, sink and shower to remove excess hair, and they change the bedding about two times a month upon the residents request. Interviews with R1 revealed the staff come in and clean their room. Interviews with laundry attendants revealed that they wash the laundry weekly and for R1 it is on Tuesdays. The residents are supposed to have the laundry ready for the attendant to pick up and take, although interviews revealed R1 does not get their items ready and expect the staff to pick up all of their unclean laundry. There was an incident the other day regarding R1 and unclean rugs and R1 admitted that the staff took the rugs and cleaned them. Interviews revealed that staff needed a bag and gloves to pick up the soiled mats and was going to leave to get bags when R1 offered a few bags to the staff. Interviews did not provide supporting information that the facility does not ensure basic laundry service is provided in a timely manner.

It was alleged that the staff mismanaged resident’s medication. Interviews revealed that R1 manages their own medications. Upon LPA observation R1 had all of their medications in their room. Interviews revealed that R1 ordered a refill of an Iron medication and thought it was delivered. R1 asked the staff about the medication and the staff explained to R1 that the medication had not been delivered and if it was, it would have been in their mailbox and delivered to them with the rest of their mail. Interviews with R1 revealed that they contacted Care Mark a mail order services through CVS and they admitted to R1 they messed up and did not deliver the medications although R1 thought they did. Interviews with staff revealed anything that comes in through the mail they put into the residents mailboxes and that they don't open the residents mail so they don't know what the residents are getting in packages. Interviews did not provide supporting information that the facility staff mismanaged resident’s medication

Based upon the evidence gathered during this investigation, insufficient information was obtained to support the allegations of unlawful eviction, staff does not ensure basic laundry service is provided in a timely manner and staff mismanaged resident’s medication. The Preponderance of Evidence Standard was not met. As such, the allegations are Unsubstantiated.

An exit interview was conducted with Executive Director, Julia Lopez and a copy of the report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Director, whose signature confirms receipt of receiving the documents.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

LIC9099 (FAS) - (06/04)

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