<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 10/20/2022
Date Signed: 10/20/2022 11:40:37 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/31/2022 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20220131085915
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: 142DATE:
10/20/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Resident Services Director, Theresa RobertTIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff was not in compliance with their Covid -19 Mitigation Plan
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Resident Services Director (RSD), Theresa Robert.

The Department investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, multiple interviews with staff, residents and outside sources, and review of facility records including visitor logs, LIC808 Mitigation Plan Report, and Community Care Licensing (CCL) Infection Control Inspections.

On January 31, 2022, it was alleged that facility staff were not in compliance with their COVID-19 Mitigation Plan. It was specifically alleged that memory care residents that had tested positive were allowed to walk around the facility and that residents in assisted living were not required to wear masks inside the facility.

(Continue on LIC9099C)
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Marisela Garcia-CentenoTELEPHONE: (619) 323-4834
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
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-20220131085915
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: MERIDIAN AT LAKE SAN MARCOS, THE
FACILITY NUMBER: 374603339
VISIT DATE: 10/20/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On February 3, 2022, the Department conducted a visit at the facility to commence the complaint investigation which included a tour of the facility. During the tour, it was observed the facility had one central entry point for universal entry screening and routine symptom screening was initiated at entry for all staff and visitors. Visitors were required to wear a mask and sign-in at the reception area. It was observed that signs were posted at facility entrance and throughout the facility to promote face masks, hand hygiene, cough/sneeze etiquette and physical distancing. All staff present at the facility on February 3, 2022, were observed wearing surgical face masks. Although, it was a recommendation not mandated per Title 22 regulations for residents in assisted living to wear face coverings. The majority of the residents were observed wearing either a surgical mask provided by the facility or their own face covering when they were walking around the facility. The few residents that were not wearing a face covering, when staff provided reminders the residents put their face coverings on upon request.

Interviews with staff, residents and outside sources consistently indicated they had no concerns regarding facility COVID-19 infection control protocols. Direct care staff in memory care indicated that residents that tested positive were placed in isolation for the recommended quarantine period. Most memory care residents did not wear face coverings due to their cognitive medical condition; they would take off the masks as they did not understand COVID-19 infection control protocols. In addition, some memory care residents had face covering exemptions due to respiratory conditions.

In an effort to mitigate the spread of COVID-19 during an outbreak in July of 2021 and again in March 2022, CCL staff conducted daily monitoring with facility’s Infection Control Lead to provide infection control guidelines and technical assistance. In addition, on May 23, 2022, CCL conducted an Infection Control Inspection which resulted in no violations of Title 22 regulations.

Based on observations, interviews with staff, residents, and outside sources, it was determined the facility was in substantial compliance with and implemented their infection control practices as outlined in its COVID-19 Mitigation Plan (LIC 808). Therefore, this allegation is deemed to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with RSD, Robert, to whom a copy of this report, and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Marisela Garcia-CentenoTELEPHONE: (619) 323-4834
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2