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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 03/30/2025
Date Signed: 03/30/2025 03:16:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/09/2023 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 18-AS-20230609171027
FACILITY NAME:MERIDIAN AT LAKE SAN MARCOS, THEFACILITY NUMBER:
374603339
ADMINISTRATOR:QUIGLEY, KEVINFACILITY TYPE:
740
ADDRESS:1177 SAN MARINO DR BLDG 1 & 2TELEPHONE:
(760) 510-7500
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:170CENSUS: 100DATE:
03/30/2025
UNANNOUNCEDTIME BEGAN:
08:07 AM
MET WITH:Melissa SigalaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff is providing resident care while intoxicated
INVESTIGATION FINDINGS:
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On 03/30/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a subsequent complaint visit to the facility listed above. LPA met with Memory Care Director, Melissa Sigala, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of the following:
On 06/16/2023, LPA Chinwe Nwogene conducted an initial visit. The visit consisted of a facility tour, review of facility record, and collected pertinent documents.
During a subsequent visit conducted on 03/29/2025, LPA Gibbs toured the facility, interviewed Staff S4-S8, interviewed Residents R3-R7, and received copies of Staff S1 employee file.
During today’s visit, LPA Gibbs interviewed Staff S9 and S11 and interviewed Resident R8-R12.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2025
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 2
Control Number 18-AS-20230609171027
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: MERIDIAN AT LAKE SAN MARCOS, THE
FACILITY NUMBER: 374603339
VISIT DATE: 03/30/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Staff is providing resident care while intoxicated.
The allegation alleges that staff is coming into work while intoxicated and providing resident care.
During Staff File review, LPA observed a Drug and Alcohol-Free Workplace Policy Employee Acknowledgement signed by S1 on 06/07/2022. The document states drug and alcohol testing will be done. Additionally, LPA reviewed a Separation Form for an Involuntary Termination for Violation of Company Policy.
During interviews with Staff S4-S10, were asked if they have observed Staff intoxicated or smelled alcohol on staff while working, one (1) out of eight (8) stated they have seen and smelled alcohol on staff while working. Additionally, Staff S4-S10 we8e asked if they have heard of staff coming to work intoxicated, three (3) out of eight (7) have stated they have heard of staff coming to work intoxicated.
During interview with Resident R1-R10, were asked if they have observed staff intoxicated or smelling of alcohol while working, one (1) out of ten (10) stated they have observed staff intoxicated and smelled like alcohol.
During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with Memory Care Director, Melissa Sigala, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2