374600890-8-30-2024-08-AS-JLOT-D9HRZ2-20240927132712

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 08/29/2024
Date Signed: 08/30/2024 06:56:13 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
08/27/2024 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20240827164134

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: 96	DATE:	08/29/2024
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Executive Director (ED) Julia Lopez		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not provide transportation to resident in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Debbie Correia conducted a facility visit to conclude a complaint investigation. LPA gained access to the facility, identified herself and met with Executive Director (ED) Julia Lopez to whom was explained the purpose of the visit.

The Department’s investigation consisted of staff and resident interviews and a facility and resident records reviews.

It was alleged that facility staff did not provide transportation to a resident in care. An Interview conducted with Resident 1 (R1) revealed on August 27, 2024, facility staff did not provide them with their transportation needs. The interview also revealed R1 needed transport that day but R1 was told there were no available staff and they would have to wait until the following day. An interview conducted with ED Lopez revealed on August 27, 2024, the driver was booked, and staff needed at least 24-hour notice for transport. An interview conducted with Staff 1 (S1) corroborated the facility has a sign-in schedule for transport although the driver will try to accommodate or prioritize certain situations. The interview with S1 also revealed R1 was provided transportation the following day.

This is an amended version of the original reprort dated August 29, 2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

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 2

Control Number 08-AS-20240827164134

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: 08/29/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

An interview conducted with Staff 2 (S2) revealed residents come to or call the front desk to request transport and S2 will review the calendar to check for availability and put the requesting resident on the calendar. In addition, interviews conducted with residents in care revealed no issues with the transport services at the facility and were aware there is a scheduling system. Resident 2 (R2) also revealed the facility driver does a really good job with accommodating and prioritizing transportation based on the resident’s needs. Interviews conducted with Resident 3 (R3) and Resident 4 (R4) also provided positive feedback regarding the transportation provided at the facility.

A review of R1's resident records revealed agreement to the policy that the facility provides transportation however there must be a schedule maintained to meet all requests. A facility records review revealed the calendar was booked the day of August 27, 2024, and corroborated R1 was provided transportation the following day, August 28, 2024. [See LIC 811 for confidential names]

Based upon the information obtained during the investigation it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the violation occurred and is therefore UNSUBSTANTIATED.

An exit interview was conducted with Ashley Baino-Jaimes Resident Service Director (RSD), whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

This is an amended report of the original report Dated August 29, 2024.

During today's visit LPA left the facility and returned at a later time.

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2