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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603136
Report Date: 12/20/2024
Date Signed: 04/29/2025 05:44:51 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
12/18/2024 and conducted by Evaluator Juliana Barfield
COMPLAINT CONTROL NUMBER: 08-AS-20241218165603
FACILITY NAME:CORONADO RETIREMENT VILLAGEFACILITY NUMBER:
374603136
ADMINISTRATOR:ELIZABETH REYESFACILITY TYPE:
740
ADDRESS:299 PROSPECT PLACETELEPHONE:
(619) 437-1777
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY:120CENSUS: 78DATE:
12/20/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Elizabeth NajeraTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility was unsanitary.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced visit in response to the above-mentioned allegation to deliver an amended report. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Elizabeth Najera.

It was alleged that the facility was unsanitary. The Department's investigation consisted of LPA observations, record review, and interviews with staff, residents, and outside sources. LPA observed a housekeeper cleaning a lobby restroom. Resident rooms were clean and hallways, elevator, dining room, and resident rooms were sanitary and in order. Staff, residents, and outside sources interviewed said the facility is clean. Outside sources preferred to use their loved one's restroom. LPA reviewed housecleaning schedules and staffing levels were sufficient. Completed tasks were signed off on a daily checklist.

According to records and interviews there is insufficient evidence that the alleged violation occurred.
Therefore, this allegation is deemed unsubstantiated. This amended report and Licensee/Appeal Rights (LIC9058 03/22) were provided to Administrator Elizabeth Najera at the end of the visit.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Juliana BarfieldTELEPHONE: (619) 994-7269
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
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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