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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 08/30/2024
Date Signed: 09/12/2024 08:18:27 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
08/26/2024 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20240826113532
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:
08/30/2024
UNANNOUNCEDTIME BEGAN:
06:30 PM
MET WITH: Resident Service Assistant (RSA) Sharmaine OseaTIME COMPLETED:
07:15 PM
ALLEGATION(S):
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Staff does not provide a comfortable temperature for residents in care.
INVESTIGATION FINDINGS:
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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 Resident Service Assistant (RSA) Sharmaine Osea to whom was explained the purpose of the visit.

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

It was alleged the facility staff did not provide a comfortable temperature for residents in care. An Interview conducted with the Executive Director revealed each resident room has their own Air Conditioning (AC) unit and the residents can control the temperature of their rooms. Interviews conducted with Staff 1 (S1) and Staff 2 (S2) both corroborated residents can control the temperature of their rooms. An interview conducted with Resident 1 (R1) also corroborated they had their own AC unit and can control the temperature of their room. The interview with R1 also revealed no issues with their AC unit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024
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-20240826113532
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: 08/30/2024
NARRATIVE
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An interview conducted with Resident 2 (R2) revealed they have had trouble adjusting the temperature of their AC unit however maintenance was able to fix the issue. An additional interview conducted with Resident 3 (R3) corroborated they have their own unit and can adjust the temperature to their preference. During a facility tour LPA observed individual AC units in residents rooms that have temperature controls for resident use. [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 RSA Osea whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights. (LIC9058 3/22).


LPA Correia had to leave the facility and return at a later time to deliver findings.
SUPERVISOR'S NAME: Jennifer LottTELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie CorreiaTELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2