374600890-2-29-2024-08-AS-JLOT-D3QUF2-20240326153200

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 02/29/2024
Date Signed: 02/29/2024 03:44:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
02/23/2024 and conducted by Evaluator Nacole Patterson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20240223150940

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: 84	DATE:	02/29/2024
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Executive Director Julia Lopez		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not provide resident with clean linens.
Staff yelled at resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Julia Lopez.

On 2/23/24 it was alleged that staff did not provide resident with clean linens, and staff yelled at a resident. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, resident, outside source, and records review. Regarding the allegation, "Staff did not provide resident with clean linens", staff members interviewed consistently informed that the resident in question had a preference that their sheets were to be washed upon request only. Staff interview revealed that staff attempted to change the bedding on the assigned day, but the resident did not inform them they wanted their bedding washed. Staff interview, corroborated by facility records, revealed that staff did change the resident's bedding the next day, upon the resident's request. Interview with the resident in question confirmed that they made their request known to staff, and staff accommodated the request the same day.
(Continued on LIC9099-C p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 02/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024

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-20240223150940

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ATRIA COLLWOOD	FACILITY NUMBER: 374600890
	VISIT DATE: 02/29/2024

NARRATIVE

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(Continued from LIC9099 p.1)

Outside source interview revealed that external investigations have been conducted regarding the resident's laundry service and it was found that staff abide by the housekeeping and laundry schedule. Outside sources did not have concerns regarding laundry service or the resident being provided clean linens. LPA directly observed the bedding in question, and it was observed to be clean with no stains, debris, or odors indicating that it had not been washed.

Regarding the allegation, "Staff yelled at a resident", staff interviews did not corroborate the allegation, informing that the staff in question had never yelled at a resident, or any other staff. Staff interview further revealed that a witness was present during the incident in question. LPA interviewed the witness who confirmed that no yelling was done during the incident, and all parties were calm and maintained composure the entire time. Interview with the resident in question did not corroborate the allegation. The resident in question was unable to recall the specifics of the event and informed that the staff member did not yell at them. Outside sources did not corroborate the allegation, informing that the resident in question had a pattern of perceiving that staff yelled at them but they did not. The outside source informed that external investigations have been conducted regarding similar complaints from this resident, and they have been found to be untrue. No records were found that gave evidence to the allegation. During unannounced facility visits, LPA has observed staff and resident interactions. No observations made corroborated the allegation.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Julia Lopez, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 02/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024

LIC9099 (FAS) - (06/04)

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