374603339-1-11-2023-18-AS-JESL-CTA5M5-20230629200410

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603339
Report Date: 01/11/2023
Date Signed: 01/11/2023 11:29:27 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/13/2022 and conducted by Evaluator Chinwe Nwogene

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220713080155

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: 147	DATE:	01/11/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Robert Johnston, Executive Director		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Insufficient staffing to meet residents’ needs.
Facility is unkempt.
Staff did not meet residents’ laundry needs.
Staff did not cut up food for resident as instructed.
Staff leave resident in dirty diapers for extended periods.
Resident sustained a diaper rash while in care.
Staff do not respond to residents’ call assistance button in a timely manner.

INVESTIGATION FINDINGS:

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On January 11, 2023, Licensing Program Analyst (LPA) Chinwe Nwogene made an unannounced visit to the facility to conclude a complaint investigation into the allegation listed above. LPA met with New Executive Director, Robert Johnston and explained the purpose of the visit. During the investigation LPA interviewed staff and residents, conducted an inspection of the facility, reviewed residents file and facility file.
Regarding the allegation “Insufficient staffing to meet residents’ needs”. It was alleged facility doesn’t have enough staff to meet resident needs. LPA interviewed Resident Services Director who stated facility has enough caregivers to meet resident’s needs. LPA Interviewed Executive Director who stated facility is in the process of hiring more staff but still has enough staff to meet resident's needs. LPA reviewed staff roster, staff roster revealed facility has sufficient amount of staff to meet resident needs.

Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

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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Control Number 18-AS-20220713080155

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERIDIAN AT LAKE SAN MARCOS, THE	FACILITY NUMBER: 374603339
	VISIT DATE: 01/11/2023

NARRATIVE

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Continued from LIC9099

Regarding the allegation “Facility is unkempt”. It was alleged resident’s apartment was not being cleaned regularly. LPA interviewed staff who stated resident’s apartment is cleaned once a week. LPA’s interview with resident confirms staff clean resident’s apartment once a week. LPA conducted inspection of the facility including resident’s apartment and observed facility including resident’s apartment to be clean and sanitary.

Regarding the allegation “Staff did not meet residents’ laundry needs”. It was alleged staff does not do resident’s laundry timely and does not put resident’s laundry in resident’s dresser. LPA’s interview with resident reveals staff does residents laundry once a week, staff sometimes puts the laundry away and sometimes they don’t. LPA observed resident’s laundry bag with clothes on top of resident’s couch. LPA interviewed laundry staff who stated staff does resident laundry once a week and puts them in resident’s dresser upon resident’s request. Laundry staff stated resident #1 (R1) directed staff to leave the laundry on the couch by pointing to the couch.

Regarding the allegation “Staff did not cut up food for resident as instructed”. LPA interviewed Resident Services Director who stated resident #1 (R1) is not on a special diet but, per resident’s Authorized Representative’s request, R1’s food are cut by the dinning staff. LPA’s interview with residents revealed dinning staff cuts R1 food. LPA reviewed (R1) file, the review revealed R1 is not on a special diet.

Regarding the allegation “Staff leave resident in dirty diapers for extended periods”. LPA interviewed staff who stated staff changes resident #1 diapers three #3 to four #4 times in the morning and two #2 to three #3 times in the PM. LPA’s interview with residents reveals staff changes R1 diaper in the morning, afternoon and late at night.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20220713080155

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: MERIDIAN AT LAKE SAN MARCOS, THE	FACILITY NUMBER: 374603339
	VISIT DATE: 01/11/2023

NARRATIVE

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Regarding the allegation “Resident sustained a diaper rash while in care”. LPA’s interview with resident #1 (R1) reviewed R1 had diaper rash once after having a diarrhea. LPA interviewed staff who denied ever knowing or seeing diaper rash on resident #1 (R1).

Regarding the allegation “Staff do not respond to residents’ call assistance button in a timely manner”. LPA’s interview with resident revealed it take the caregivers 15 minutes or longer for the caregivers to respond. LPA interviewed the Resident Services Director who denied it takes longer than 10 minutes to respond to residents, except when the pendant system was down on 07/13/2022 in which Resident Services Director instructed caregivers to remain on each floor in case a resident needed help and also to check on the residents every hour.

Based on LPA’s interview with staff, and resident, inspection of the facility conducted, review of resident’s file and facility file there is not enough evidence to support the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Robert Johnston.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC9099 (FAS) - (06/04)

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