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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 11/19/2025
Date Signed: 11/19/2025 10:42:45 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
06/04/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20250604134152
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: 98DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Community Business Director (CBD) Patricia TortaricoTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Unlawful eviction
Staff did not permit resident access to personal belongings
Staff did not prevent residents from engaging in inappropriate behavior
Staff speak inappropriately to residents
Staff did not provide transportation assistance to residents’ medical appointments
Staff do not ensure the facility is clean and sanitary
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation and deliver findings. LPA identified herself to and met with Community Business Director (CBD) Tortarica to whom was explained the purpose of the visit.

The Department's investigation included facility and resident records reviews and resident, staff, and outside source interviews.The investigation also included a facility tour.

A review of Resident 1’s (R1) records revealed R1 moved into the facility on April 18, 2022. On June 4, 2025, the Department received a complaint that alleged R1 was unlawfully evicted. Interviews with the Executive Director (ED), facility staff, and residents confirmed R1 had purchased a motorized scooter and repeatedly failed to follow staff instructions regarding safe operation. R1 was reportedly reckless, crashing into the front desk, medication cart, and nearly colliding with residents and staff. Documentation showed that on January 21, 2025, R1 was issued a 30-day notice citing multiple safety concerns related to their use of the scooter.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 3
Control Number 08-AS-20250604134152
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: 11/19/2025
NARRATIVE
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It was also alleged that staff restricted R1’s access to personal belongings, specifically a television and phone. An interview conducted with the ED disclosed that R1’s family member picked up all of R1’s belongings. A resident record review showed no items listed on R1’s inventory list of personal belongings.

Additionally, It was alleged that staff failed to transport R1 to medical appointments and began charging for transportation services. Per the facility admission agreement, the facility’s policy states transportation is provided at no cost within a 10-mile radius, with a $25 fee beyond that. Staff 1 (S1) stated in the past, new residents were not charged the $25 fee for transport over 10-miles to allow them time to adjust and understand the facility’s transportation policy, and schedule visits accordingly. Records showed that transportation was offered and provided to R1 in accordance with policy.

It was also alleged staff speak inappropriately to residents in care. Interviews with staff and residents did not corroborate this allegation. All parties reported that staff did not speak inappropriately to R1. However, multiple sources (staff and residents) stated that R1 frequently used inappropriate language toward staff and residents, including political rants, blocked access to elevators and doorways, and made derogatory remarks.

It was also alleged that two residents engaged in explicit behavior on the facility transport bus. However, the residents involved were not identified, and staff interviewed had no knowledge of the incident.

Lastly, it was alleged the facility is not clean and sanitary. Specifically, It was alleged the ED brings their dog to the facility and the dog urinated and defecated around the facility, including the communal dining area. Interviews conducted with staff and residents, and a facility tour yielded no corroborating evidence. At the time of facility tour it was observed to be clean and sanitary. Additionally, during the tour cleaning staff were observed throughout the facility. During several unrelated visits, for long periods of time, LPA has met the ED’s dog and never observed the dog having an accident and has never received any complaints or negative feedback regarding the dog. There are several residents at the facility that have dog,, for residents that are unable to walk their dog the facility has/had dedicated staff to take them on walks to use the bathroom and is included int their care plan. In addition, facility policy states pets are not allowed in the communal dining area.

Based on record reviews and interviews with facility staff and outside sources the above-mentioned allegations were determined to be Unsubstantiated. An Unsubstantiated finding means the preponderance of evidence to prove the violation/s occurred was not met.

An exit interview was conducted with CBD Tortarico, to whom a copy of this report, and Licensee Rights (LIC 9058), will be provided. The signature below confirms receipt of the reports

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
06/04/2025 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20250604134152

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: 98DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Community Business Director (CBD) Patricia TortaricoTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
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9
Staff did not prevent residents from engaging in a physical altercation
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPA) Debbie Correia conducted an unannounced visit to conclude a complaint investigation and deliver findings. LPA identified herself to and met with Community Business Director (CBD) Tortarico whom was explained the purpose of the visit.

This above listed allegation was previously investigated under complaint number 08-AS-20250320090340, with findings rendered on April 30, 2025. As such, this allegation is determined unfounded and has been dismissed.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3