374600890-12-17-2025-08-AS-RCLK-DPU3QQ-20251229172732

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600890
Report Date: 12/17/2025
Date Signed: 12/17/2025 06:18:58 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
02/10/2025 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20250210133700

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: 95	DATE:	12/17/2025
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Community Business Director (CBD) Totorica		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff did not prevent inappropriate interactions between residents while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Correia conducted an unannounced visit to conclude a complaint investigation and deliver findings. LPA identified herself with Receptionist Tessa Randolph, met with CBD Totorica, and explained the purpose of the visit.

The Department’s investigation included interviews with staff and residents, as well as reviews of facility, residents, and outside source records.

On February 10, 2025, the Department received a complaint alleging that staff failed to prevent inappropriate interactions between residents while in care. An interview with Resident 1 (R1) disclosed that Resident 2 (R2) had groped them at the facility. Staff 1 (S1) reported that R1 disclosed the incident to them, stating that R2 touched them inappropriately. S1 informed R1 that they intended to contact law enforcement to file a report; however, R1 declined and requested that facility staff handle the situation internally. An interview with Staff 2 (S2) revealed they discussed personal rights with R2 to whom they agreed to be more respectful to residents in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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-20250210133700

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: 12/17/2025

NARRATIVE

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[Continuation from LIC 9099]

A review of R1’s records revealed they were admitted to the facility on February 3, 2025. Prior to admission, R1 had undergone two hip and knee replacements and was diagnosed with Mild Intellectual Disorder (MID), macular degeneration, depression, hypertension, and anxiety. R1 was non-ambulatory, considered a fall risk, but was able to leave the facility unassisted.

A review of R2’s records showed they were admitted on February 29, 2024, following a stay at a Skilled Nursing Facility (SNF) due to a hip fracture. R2 was non-ambulatory and diagnosed with MID, atrial fibrillation (A-fib), hypertension, chronic obstructive pulmonary disease (COPD), depression, anxiety, Hyperlipidemia, arthritis, alcohol use disorder (ETOH), and alcoholic hepatitis. Records also indicated R2 was easily agitated but generally kept to themselves.

Interviews with S1 and the facility’s Executive Director (ED) described R2 as quiet and non-problematic, and both expressed surprise at the allegation. They confirmed that no further incidents had occurred. The ED, who was informed of the incident by R1, stated that R1 and R2 had crossed paths at the facility and were in each other’s way when R2 swatted R1 on the bottom.

Additionally, Staff 3 (S3) reported that no staff witnessed the incident and that all residents were gathered in the dining hall for dinner at the time. A review of outside source records corroborated that R1 preferred the facility to handle the situation, and did not wish to press charges. An additional interview conducted with R1 corroborated and they confirmed no other occurrences have happened at the facility .

The incident was self reported to the Department on February 8, 2025, the day of the incident.

Based on interviews and records reviews the allegation was determined to be Unsubstantiated. An Unsubstantiated finding means, although the allegation may be valid there was not a preponderance of evidence to prove the violation had occurred.

An exit interview was conducted with CBD Totorica, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058), were provided. Signature below confirms receipt of the reports.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

LIC9099 (FAS) - (06/04)

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