374603339-3-30-2025-18-AS-RORN-DFDM5R-20250403091848

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 03/30/2025
Date Signed: 03/30/2025 02:43:06 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
05/30/2023 and conducted by Evaluator Socorro Leandro

COMPLAINT CONTROL NUMBER: 18-AS-20230530163628

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: 100	DATE:	03/30/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Memory Care Director - Melissa Sigala		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Facility staff is sleeping at work.

INVESTIGATION FINDINGS:

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On 03/30/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro and LPA Wendy Gibbs conducted an unannounced subsequent complaint visit. LPA Leandro met with Memory Care Director, Melissa Sigala the purpose of the visit was explained, and LPA was granted entry to the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: (916) 605-6831
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)

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Control Number 18-AS-20230530163628

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 consisted of the following:

On 9/13/2024, staff records were reviewed, interviews of staff and residents were conducted. On 3/29/2025, records were collected, and interviews were conducted. Interviews conducted consisted of 5 staff interviews [Staff 2 (S2) to Staff 6 (S6) were interviewed] and 8 resident interviews [Resident 1 (R1) to Resident 8 (R8) were interviewed]. On 3/30/2025, records and interviews were reviewed, and interviews were conducted. Records reviewed consisted of Staff 1 (S1) file, Employee Roster dated 3/29/2025, Resident Census dated 3/29/2025, and Resident Roster dated 3/29/2025. Interviews reviewed consisted of S2 to S6 interviews and R1 to R8 interviews. Interviews conducted consisted of 2 staff interviews [Staff 7 (S7) to Staff 8 (S8) were interviewed] and 3 resident interviews [Resident 9 (R9) to Resident 11 (R11) were interviewed].

The investigation revealed the following:

Allegation: “Facility staff is sleeping at work”, it is being alleged that a staff member is sleeping at work. Interviews conducted with R1 to R11 revealed the following: 1 out of 11 residents saw a staff sleeping at work, and 10 out of 11 residents have not heard about staff sleeping at work nor seen staff sleeping at work. Interviews conducted with S2 to S8 revealed the following: 1 out of 8 staff saw S1 sleeping at work; 2 out of 8 staff heard that S1 sleeps at work; and 5 out of 8 staff have not heard about staff sleeping at work nor seen staff sleeping at work. Records reviewed of S1 file revealed the following: there is no mention of S1 sleeping at work. Observations revealed the following: On 3/29/2025 and 3/30/2025, the department did not observe staff sleeping in the facility. Based on interviews, records, and observations this allegation is unsubstantiated. Unsubstantiated: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

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

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Socorro Leandro	TELEPHONE: (916) 605-6831
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)

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