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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 11/20/2023
Date Signed: 11/20/2023 04:53:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/15/2023 and conducted by Evaluator Nacole Patterson
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20231115162446
FACILITY NAME:LA VIDA REALFACILITY NUMBER:
374603565
ADMINISTRATOR:DAVID ARMOURFACILITY TYPE:
740
ADDRESS:11588 VIA RANCHO SAN DIEGOTELEPHONE:
(619) 660-5778
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:177CENSUS: 307DATE:
11/20/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Executive Director David ArmourTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility call system was in disrepair
Staff did not meet resident(s) incontinence needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director David Armour.

On 11/15/2023 it was alleged that the facility's call system was in disrepair, and staff did not meet resident(s) incontinence needs. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations.

Regarding the allegation, "Facility call system was in disrepair", it was alleged that the call button system in resident rooms was broken, resulting in a delayed response from staff. Staff interview revealed that the system was in working order and the contractor for the call system was recently out to the facility for a routine check with no issues. (Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023
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-20231115162446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LA VIDA REAL
FACILITY NUMBER: 374603565
VISIT DATE: 11/20/2023
NARRATIVE
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(Continued from LIC9099)

Records review confirmed that the outside contractor came to the facility on 10/4/2023, upgraded and tested the system, with no issues noted. LPA directly observed and tested the call button system, revealing it to be in working order with no errors or glitches. Resident interview revealed that while residents sometimes observed a delay in the response time from staff, the call system worked correctly. Outside source interviews did not corroborate the allegation, informing that no disrepair issues have been observed with the call button system.

Regarding the allegation, "Staff did not meet resident(s) incontinence needs", it was alleged that staff did not assist residents with incontinence care in a timely manner. Staff interviews did not corroborate the allegation, revealing that staff checked residents every 1-2 hours, per protocol, and as needed depending on condition and requests for assistance. Resident interviews were inconsistent; some residents stated they waited too long for help, while other residents stated they receive toileting assistance timely, when requested. Outside source interviews did not corroborate the allegation, and did not express concern regarding the time in which residents wait for incontinence assistance. Records review did not give evidence to support the allegation.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director David Armour, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISOR'S NAME: Lizzette TellezTELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole PattersonTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2