374603339-5-16-2023-18-AS-IESA-CW86XS-20231001211226

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 05/16/2023
Date Signed: 05/16/2023 01:23:11 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
05/09/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230509161411

FACILITY NAME:	MERIDIAN AT LAKE SAN MARCOS, THE		FACILITY NUMBER:	374603339
ADMINISTRATOR:	QUIGLEY, KEVIN		FACILITY TYPE:	740
ADDRESS:	1177 SAN MARINO DR BLDG 1 & 2		TELEPHONE:	(760) 510-7500
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	170	CENSUS: 204	DATE:	05/16/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Ferlina McBride, Executive Director		TIME COMPLETED:	12:29 PM

ALLEGATION(S):

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Facility is not providing a safe environment for residents.

INVESTIGATION FINDINGS:

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On 5/16/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Executive Director, Ferlina McBride who was informed of the purpose of the visit. At the time of visit, LPA interviewed staff, interviewed residents, conducted an inspection of the facility dining.
Regrading the allegation “Facility is not providing a safe environment for resident”, it was alleged that facility dining is undergoing construction to the ceiling, floors and chemicals fumes are present while the residents are eating. LPA interviewed staff who denied there was any construction in the dining. LPA interviewed residents who also denied seeing any construction happening in the dining. LPA conducted an inspection of the facility dining and observed no construction happening in the dining. The dining area was observed to be clean and furnitures in good condition.
Based on LPA’s observation, interviews with staff, and residents there is not enough evidence to support the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Ferlina McBride.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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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