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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602832
Report Date: 11/08/2023
Date Signed: 11/08/2023 12:16:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
10/17/2023 and conducted by Evaluator Nacole Patterson
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20231017124157
FACILITY NAME:LA VIDA DEL MARFACILITY NUMBER:
374602832
ADMINISTRATOR:WEST, LAURAFACILITY TYPE:
740
ADDRESS:850 DEL MAR DOWNS RDTELEPHONE:
(858) 755-1224
CITY:SOLANA BEACHSTATE: CAZIP CODE:
92075
CAPACITY:130CENSUS: 112DATE:
11/08/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Environmental Services Director Santos ArroyoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee did not maintain building entrances in good repair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced subsequent visit to deliver findings regarding the above complaint allegation. LPA was welcomed by and discussed the purpose of the visit with Environmental Services Director Santos Arroyo.

On 10/17/23 it was alleged that Licensee did not maintain building entrances in good repair. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interview revealed that one of the entrances in question, outside of a resident's patio, was not an approved entrance/exit, and this information was communicated to the resident. Staff interview corroborated that the location was not an approved entrance/exit, and multiple facility staff discouraged the resident from using the back patio location to exit the building due to safety reasons. Records review did not give evidence that the location outside of the resident's patio was an approved entrance/exit. (Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
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-20231017124157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LA VIDA DEL MAR
FACILITY NUMBER: 374602832
VISIT DATE: 11/08/2023
NARRATIVE
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(Continued from LIC9099)

LPA observed that the patio location was not ADA accessible, with tripping hazard concerns due to the curb and landscaping. While this location confirmed safety concerns for entering and exiting, evidence supports that it was not a valid entrance or exit, and the resident was instructed to refrain from using that location.

The second location in question, a pathway connecting two buildings near the dining room, was claimed to be a tripping hazard. Staff and outside source interviews revealed that this location was able to be navigated by other residents without issue. LPA directly observed this location and it was found to be in good repair, with no safety hazards.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Environmental Services Director Santos Arroyo, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2