374600890-9-25-2024-08-AS-JLOT-D9KUTN-20240929155212

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 09/19/2024
Date Signed: 09/25/2024 12:22:54 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
09/09/2024 and conducted by Evaluator Debbie Correia

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20240909101903

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: 99	DATE:	09/19/2024
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Executive Director (ED) Julia Lopez		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff are not ensuring residents are taken to their appointments.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced 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 facility and resident records reviews.

It was alleged that facility staff did not ensure residents are being transported to their appointments. A facility records review revealed at admission residents agree to the terms of transportation set forth by the facility that entail a schedule be maintained to accommodate all resident’s needs. Further review of facility records corroborated the facility has a schedule for resident’s transport needs. An interview conducted with facility Staff 1 (S1) revealed residents go to the lobby front desk to request transportation and be added to available transport openings per the facility schedule.

Thisis an amended version of he orginal report delivered on September 19, 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: 09/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024

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-20240909101903

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: 09/19/2024

NARRATIVE

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The interview with S1 also revealed transportation on Monday, Wednesdays, and Friday’s are typically reserved for outings, and errands, and Tuesday’s and Thursday are reserved for medical related appointments.

Interviews conducted with the Executive Director (ED) corroborated S1’s statement regarding transportation on Monday, Wednesdays, and Friday’s are typically reserved for outings, and errands, and Tuesday’s and Thursday are reserved for physician and/or medical related appointments, and the details of the transport schedule are posted in resident rooms. The interview also revealed that facility staff are flexible with transportation and will accommodate resident's needs when there is a pressing matter. Interviews conducted with S2 and S3 both corroborated S1's statements regarding the facility's transportation systems in place.

Interviews conducted with R1, R2, and R3 all revealed no issues with obtaining transportation by facility staff. The resident interviews all concurred the transport driver does a great job and will go out of their way to accommodate transportation for the residents and have not ever encountered an issue with their transportation needs. [See LIC811 for Confidential Names]

Based on staff and resident interviews and facility records reviews, the finding regarding the above allegation was established to be unsubstantiated. This finding means although the allegation may have happened or could be valid there is not a preponderance of evidence to prove that the alleged violation occurred.

LPA conducted an exit interview with Julia Lopez who was notified a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058).

This is an amended version of the original complaint delivered on September 19, 2024.

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 346-3976
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024

LIC9099 (FAS) - (06/04)

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