374603565-4-25-2024-08-AS-SJAB-D4NUX6-20240425155749

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603565
Report Date: 04/24/2024
Date Signed: 04/25/2024 07:50:26 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
06/29/2022 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20220629111515

FACILITY NAME:	LA VIDA REAL		FACILITY NUMBER:	374603565
ADMINISTRATOR:	KIMBERLY GARCIA		FACILITY TYPE:	740
ADDRESS:	11588 VIA RANCHO SAN DIEGO		TELEPHONE:	(619) 660-5778
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	177	CENSUS: 123	DATE:	04/24/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Executive Director Kimberly Garcia		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee is harrasing resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong made an unannounced visit to continue an investigation on the above-mentioned allegation. LPA identified herself and disclosed the purpose of her visit. LPA met with Executive Director Kimberly Garcia.

According to allegations, Resident 1 (R1) was harassed, by Staff 1 (S1), in an attempt to move R1 into a higher priced area of the facility. According to facility file review, facility has Community Care licensed assisted living and memory care with verified fire clearance capacity of 177 residents or 143 units. Facility also has an independent living non-licensed section of 210 units which totals 353 units combined. Based on R1 records, R1 resides in the independent living area of the facility in which Community Care Licensing does not have jurisdiction.

Therefore, the complaint is unfounded. An exit interview was conducted and a copy of Licensee's Rights (LIC 9058 03/22) along with a copy of this report was provided to Executive Director Kimberly Garcia.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024

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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