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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 07/03/2024
Date Signed: 07/03/2024 02:37:37 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
06/25/2024 and conducted by Evaluator Nacole Patterson
COMPLAINT CONTROL NUMBER: 08-AS-20240625095223
FACILITY NAME:ATRIA COLLWOODFACILITY NUMBER:
374600890
ADMINISTRATOR:JULIA LOPEZFACILITY TYPE:
740
ADDRESS:5308 MONROE AVETELEPHONE:
(619) 286-3583
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:185CENSUS: 96DATE:
07/03/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Executive Director Julia LopezTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee did not provide fresh fruit.
Staff was unable to communicate residents needs due to language barrier.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Nacole Patterson and Ryan Fulton conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegations. LPAs introduced themselves and disclosed the purpose of the visit to Executive Director Julia Lopez.

On 6/25/24 it was alleged that Licensee did not provide fresh fruit, and facility staff were unable to communicate residents needs due to language barrier. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, and records review. Staff interviews revealed that during the timeframe of complaint, fresh fruit was offered and/or served during each meal. Staff informed that residents had the option to choose a different fruit offering such as apples, oranges, strawberries, blueberries, or canned fruit. Staff members advised that while there were specific residents with particular food preferences, dining staff were aware and made efforts to accommodate them, including special fresh fruit orders.

(Continued on LIC9099-C p.2)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
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-20240625095223
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: 07/03/2024
NARRATIVE
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(Continued from LIC9099 p.1)

Staff interviews revealed that specific canned fruit items such as canned apples and pears were sometimes combined with fresh fruit to accommodate resident chewing and swallowing needs. Resident interviews did not corroborate the allegation, residents informed that the facility offered a variety of fresh fruit and vegetables at each meal. No residents interviewed expressed concern regarding inaccessibility to fresh fruit. Review of facility records revealed invoices of food orders that included fresh kiwi, grapes, pineapple, strawberries, celery, romaine lettuce, bananas, potatoes, spinach, shredded cabbage, and green onions. Records review also showed monthly and daily menus with fresh fruit offerings. During an unannounced facility visit, LPAs directly observed the food supplies, preparation, and meals served to residents. LPAs observed a variety of fresh fruit, including pineapple, cantaloupe, bananas, cut watermelon, sweet potatoes, Russet potatoes, onions, oranges, apples, lemons, limes, shredded carrots, sliced mushrooms, romaine lettuce, celery, and tomatoes. LPAs observed posted signs in two locations of the kitchen advising of the specific fresh fruit to be served each day. LPAs also observed daily menus on dining room tables with the fresh fruit offerings, and a posted monthly menu that also included fresh fruit offerings. Additional records included notes from a monthly meeting between the Director of Culinary services and residents that address fresh fruit offerings and the Licensee's accommodation of such.

Regarding resident communication and language barriers, staff interviews revealed that caregivers did not have issues communicating with residents or caring for their needs. No staff interviewed advised of a resident expressing concerns regarding a language barrier with another staff. Residents interviewed did not advise having communication issues with staff; residents informed that staff were friendly and assisted them with their needs with no language barrier. No records were found to corroborate that staff were unable to meet any resident needs due to a language barrier. During an unannounced facility visit, LPAs observed caregiving, housekeeping, and dining room staff communicating with residents. No communication issues were observed. During staff interviews, LPAs observed caregiving, housekeeping, and dining staff to communicate in a way that was understandable and the staff responses indicated that they understood what was being said.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations 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: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC9099 (FAS) - (06/04)
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